Individual provider Active NPI

Rebeca Valeri, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1235434648
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 60168805 Issued in WA
Practice address
1900 Rainier Ave S
Seattle, WA 98144-4606
Phone
(206) 826-3050
Fax
(866) 451-0126
NPI assigned
Jan 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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 LW 60168805 WA Primary

Addresses

Primary practice location

1900 Rainier Ave S
Seattle, WA 98144-4606

Mailing address

1900 Rainier Ave S
Seattle, WA 98144-4606
Phone (206) 826-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2024 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW 60168805WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Family Services PastSince Jan 29, 2008 Accepting new patients
Wellspring Family Services Past Accepting new patients
Cooper House PLLC Past Accepting new patients

Organizations & group practices 3

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": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1235434648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444606",
            "telephone_number": "206-826-3050",
            "fax_number": "866-451-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444606",
            "telephone_number": "206-826-3050",
            "fax_number": "866-451-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERI",
        "first_name": "REBECA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60168805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.