Active NPI
Rebecca Anne Ralston, LCSW
- Clinical Social Worker
- Ottawa, IL
National Provider Identifier
1245837459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149016542
- Practice address
- 1100 E Norris Dr
Ottawa, IL 61350-1604 - Phone
- (815) 433-3100
- NPI assigned
- Oct 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149016542 | IL | Primary |
Addresses
Primary practice location
1100 E Norris Dr
Ottawa, IL 61350-1604
Mailing address
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (630) 981-7590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1245837459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E NORRIS DR",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501604",
"telephone_number": "630-981-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E NORRIS DR",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501604",
"telephone_number": "815-433-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALSTON",
"first_name": "REBECCA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, IL
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- Ashley Pyle, PTA
- Damon Joseph Quest, PT, DPT
- Kelly Quon, PHARMD
- Radiation Oncology of Northern Illinois LLC
- Krzysztof Ratajczak, MPT
- Reach Counseling Inc.
- Kathryn Frances Reithal-Makeever, M.S., CCC-SLP
- Glady Reyes, OTRL
- Rezin Orthopedic and Sports Medicine, SC (Vital Care Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.