Rebecca Suter Pascarella, LCSW

Individual provider Active NPI Clinical Social Worker · Verona, VA

NPI 1225670540 · NPPES record last updated Oct 9, 2019

Key facts

NPI
1225670540
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0904011147 (VA)
Practice address
246 Rolla Mill Rd
Verona, VA 24482-2537
Phone
(540) 248-5510
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904011147 VA Yes

Addresses

Primary practice location

246 Rolla Mill Rd
Verona, VA 24482-2537

Mailing address

246 Rolla Mill Rd
Verona, VA 24482-2537

Other names

  • Miss Rebecca Elise Suter Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2019.

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1225670540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ROLLA MILL RD",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244822537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 ROLLA MILL RD",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244822537",
            "telephone_number": "540-248-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCARELLA",
        "first_name": "REBECCA",
        "middle_name": "SUTER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SUTER",
            "middle_name": "ELISE",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Verona, VA

All providers in Verona, VA · Clinical Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.