Rebecca Korn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33411 Issued in TX

Practice address

206 Romeo Rd
Teague, TX 75860-4059

Phone

(254) 739-5800

NPI assigned

Sep 12, 2007

Last updated

Jan 13, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1396930392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ROMEO RD",
            "city": "TEAGUE",
            "state": "TX",
            "postal_code": "758604059",
            "telephone_number": "254-739-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ROMEO RD",
            "city": "TEAGUE",
            "state": "TX",
            "postal_code": "758604059",
            "telephone_number": "254-739-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Hillcrest Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767083144",
            "country_code": "US",
            "telephone_number": "254-741-6641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORN",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399839504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Harris, FNP
• Raechel Christeene Hataway, MS, CF-SLP
• JHS Operations, LLC (Elara Caring)
• Robin Louise Johnson, FNP-C
• Jaggar Kennedy
• Amber Ann Lehrmann, LVN
• Kelsie Renea Lummus
• Mark Hoeschele, M.D. (Teague Medical Clinic)
• Jerry L. McCombs, O.D.
• Mexia Principal Healthcare Limitd Partnership (Parkview Medical Clinic at Teague)

• Clinical Social Worker in Teague, TX
• Providers in Teague, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.