Rebecca Lavine, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116804 Issued in MA

Practice address

1236 Broadway
Somerville, MA 02144-1703

Phone

(857) 247-7970

NPI assigned

Jul 10, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1346404167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441703",
            "telephone_number": "857-247-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441703",
            "telephone_number": "857-247-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Lau
• Laura Uribe Psychotherapy LLC
• Jemima Laurent
• Vlasta D Lavalle, NP
• Patricia Ann Lavelle, AUD
• Joseph Lavoie, RN, APRN
• Olivia Grace Lavoie
• Colleen Lavorato
• Mary Finn Lawler, LICSW
• Farida Layakoubi, OPTITIAN

• Clinical Social Worker in Somerville, MA
• Providers in Somerville, 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 May 29, 2012; 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.