Active NPI
Rebecca J Horn, LCSW
- Clinical Social Worker
- Casa Grande, AZ
National Provider Identifier
1295087740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13524
- Practice address
- 865 N Arizola Rd
Casa Grande, AZ 85122 - Phone
- (520) 836-3446
- Fax
- (520) 836-8807
- NPI assigned
- Oct 9, 2012
- 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 | 13524 | AZ | Primary |
Addresses
Primary practice location
865 N Arizola Rd
Casa Grande, AZ 85122
Mailing address
PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446
Other names 1
- Rebecca J Halvorsen
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13524 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Life Family Health Center, Inc | Past | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Casa Grande, AZ
- NPI 1417286568
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1508276940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1295087740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10097",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851300020",
"telephone_number": "520-836-3446",
"fax_number": "520-836-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 N ARIZOLA RD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "85122",
"telephone_number": "520-836-3446",
"fax_number": "520-836-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "13524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "HALVORSEN",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.