Rebecca Lynn Dagostino, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113727 Issued in MA

Practice address

13 Sudbury St
Worcester, MA 01609-2816

Phone

(508) 929-2113

NPI assigned

Sep 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535932800000",
    "number": "1316429699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SUDBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092816",
            "telephone_number": "508-929-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SUDBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092816",
            "telephone_number": "508-929-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGOSTINO",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "113727",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Joshua Dacosta, MD
• Soheil S Dadras, MD
• Sarkis Daniel Dagley
• Delia Dagli, PA
• Lisa Dagnello, B.S.
• Mihaela Eugenia Cernenco Dahl
• Seth T Dahlberg, M.D.
• Kellie Dahlstrom, LICSW
• Ruth I Dahlstrom, C.R.N.A.
• Idris Z Dahod, M.D.

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.