Individual provider Active NPI

Rebecca Ann McGough

  • Clinical Social Worker
  • Carson City, NV
National Provider Identifier
1275163305
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8706-S Issued in NV
Practice address
777 E William St Ste 106
Carson City, NV 89701-4057
Phone
(775) 686-0117
Fax
(775) 345-3554
NPI assigned
Jan 16, 2020
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 8706-S NV Primary

Addresses

Primary practice location

777 E William St Ste 106
Carson City, NV 89701-4057

Mailing address

777 E William St Ste 106
Carson City, NV 89701-4057
Phone (775) 686-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220316003122 NV Practitioner - Clinical Social Worker 4183019821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Connections Behavioral Health CenterGroup PAC ID 6103186218, 3 clinicians

Practice addresses (Care Compare)

777 E William St
Suite 106
Carson City, NV 89701-4057
Phone (775) 686-0117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8706-SNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Behavioral Health Center Clinical CurrentSince Feb 16, 2022 Accepting new patients

Locations

777 E William St
Ste 106
Carson City, NV 89701
Phone (775) 686-0117

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1275163305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E WILLIAM ST STE 106",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014057",
            "telephone_number": "775-686-0117",
            "fax_number": "775-345-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E WILLIAM ST STE 106",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014057",
            "telephone_number": "775-686-0117",
            "fax_number": "775-345-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8706-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.