Rebecca Susan Kitchin Cooper, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16138 Issued in MD

Practice address

103 N Main St
Bel Air, MD 21014-3539

Phone

(888) 333-1345

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

No

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 MD

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Wellness HealthcareGroup PAC ID 1052688389, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Premier Wellness Healthcare

  • Mental Health Counselor
  • Bel Air, MD
  • NPI 1336948728
  NPD
• Premier Wellness Healthcare

  • Clinical Psychologist
  • Forest Hill, MD
  • NPI 1376087635
  NPD
• Premier Wellness Healthcare

  • Mental Health Counselor
  • Fawn Grove, PA
  • NPI 1922554401
  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1386119121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SCOTT DR",
            "city": "DELTA",
            "state": "PA",
            "postal_code": "173149475",
            "telephone_number": "443-876-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143539",
            "telephone_number": "888-333-1345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Scott Dr",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "PA",
            "postal_code": "173149475",
            "country_code": "US",
            "telephone_number": "443-876-7912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "REBECCA",
        "middle_name": "SUSAN KITCHIN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert F Cooke, PA
• Michelle Coombs, PHD
• Mackenzie Cooney
• Carin Cooper, LGPC
• Raymond Wesley Cooper Jr., O.T.
• Kirian Corbett, DNP
• Richard Corea, O.D.
• Glenn C Coros, PT
• Ralph N. Cortezi, D.D.S.
• Jessica Ann Cottrell, FNP-BC, CRNP

• Clinical Social Worker in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.