Rebecca Anne, LCSW, MDIV

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004279 Issued in GA

Practice address

321 W Hill St
Suite 2C
Decatur, GA 30030-4362

Phone

(678) 827-3456

NPI assigned

Aug 3, 2011

Last updated

Dec 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Decatur Mindfulness and Psychotherapy LLC

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1528425717
  Medicare reassignment NPD

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1285912519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W HILL ST",
            "address_2": "SUITE 2C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304362",
            "telephone_number": "678-827-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W HILL ST",
            "address_2": "SUITE 2C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304362",
            "telephone_number": "678-827-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNE",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW, MDIV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christen Anglin, LPC
• Akinkuotu S Angosisye, LCSW
• Theresa U Anieke
• Anna K. Fariss, MD, LLC
• Anna Trad and Associates
• Meagan Nicole Annis, LPC
• Anointed Healthcare Services Limited Co
• Another Chance Customize Services Inc.
• Another Chance Rehabilitation Services Inc
• Heather Anthony, NP

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.