Rebecca Chernek, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000123454 Issued in MA

Practice address

66 Langsford St Unit R
Gloucester, MA 01930-1044

Phone

(732) 599-6624

NPI assigned

Sep 4, 2018

Last updated

Mar 2, 2021By the provider in NPPES

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

Practice roles

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.

• Celestial Healing Counseling Center LLC

  • Clinical Social Worker
  • Salem, MA
  • NPI 1225918071
  NPD Authorized official

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1386126597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LANGSFORD ST UNIT R",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301044",
            "telephone_number": "732-599-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LANGSFORD ST UNIT R",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301044",
            "telephone_number": "732-599-6624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Allston St",
            "address_purpose": "LOCATION",
            "city": "Allston",
            "state": "MA",
            "postal_code": "021342403",
            "country_code": "US",
            "telephone_number": "732-599-6624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERNEK",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "223855",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000123454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Marie-Carmen Celestin, M.D.
• Mary C Chao, LMHC
• Jonathan Chapin
• Kyle Avery Chear
• Xiyan Chen
• Scotadam Judah Chernov, DC
• Jean Robinson Childs, OT
• Brianne Martha Christopher
• Elizabeth Mary Ciolino, LIC.AC, LMT, PTA
• Salvatore Ciolino, RPH

• Clinical Social Worker in Gloucester, MA
• Providers in Gloucester, 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 Mar 2, 2021; 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.