Individual provider Active NPI

Rebecca Wedgewood, LMSW

  • Social Worker
  • Rochester, NY
National Provider Identifier
1255094850
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
103584 Issued in NY
Practice address
340 Arnett Blvd
Rochester, NY 14619-1147
Phone
(585) 235-2250
Fax
(585) 235-0011
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103584 NY Primary

Addresses

Primary practice location

340 Arnett Blvd
Rochester, NY 14619-1147

Mailing address

340 Arnett Blvd
Rochester, NY 14619-1147
Phone (585) 235-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250508002869 NY Practitioner - Clinical Social Worker 1456878842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103584NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
His Branches, Inc. CurrentSince Mar 3, 2025 Accepting new patients
His Branches, Inc. CurrentSince Mar 3, 2025 Accepting new patients

Locations

340 Arnett Blvd
Rochester, NY 14619
Phone (585) 235-2250

Organizations & group practices 2

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1255094850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ARNETT BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191147",
            "telephone_number": "585-235-2250",
            "fax_number": "585-235-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ARNETT BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191147",
            "telephone_number": "585-235-2250",
            "fax_number": "585-235-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDGEWOOD",
        "first_name": "REBECCA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.