Individual provider Active NPI

Rebecca N Morgan, LICSW

  • Clinical Social Worker
  • Holliston, MA
National Provider Identifier
1235157322
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104786 Issued in MA
Practice address
155 Church St
Holliston, MA 01746-2000
Phone
(508) 429-8032
Fax
(508) 429-8031
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104786 MA Primary

Addresses

Primary practice location

155 Church St
Holliston, MA 01746-2000

Mailing address

155 Church St
Holliston, MA 01746-2000
Phone (508) 429-8032

Other identifiers 1

IdentifierTypeStateIssuer
P03032OtherMABLUE CROSS BLUE SHIELD SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060819000005 MA Practitioner - Clinical Social Worker 8224062419 Reassigns benefits to 1 organization
Practice locations: Holliston, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newton-Wellesley PsychiatryGroup PAC ID 1759282304, 20 clinicians

Practice addresses (Care Compare)

40 Walnut St
Suite 302
Wellesley, MA 02481-2175
Phone (617) 332-2047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104786MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newton-Wellesley Psychiatry Clinical CurrentSince Jan 8, 2007 Accepting new patients

Locations

2364 Washington St
Newton Lower Falls, MA 02462
Phone (617) 332-2047

40 Walnut St
Ste 302
Wellesley Hills, MA 02481
Phone (617) 332-2047

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1235157322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CHURCH ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462000",
            "telephone_number": "508-429-8032",
            "fax_number": "508-429-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CHURCH ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462000",
            "telephone_number": "508-429-8032",
            "fax_number": "508-429-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "REBECCA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD SHIELD",
            "identifier": "P03032",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holliston, MA

Sources for this page

Verify at the official NPI Registry.