Rebecca Bacha, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

005907 Issued in CT

Practice address

543 N Main St Ste a
Manchester, CT 06042-1973

Phone

(860) 978-4843

Fax

(860) 649-6751

NPI assigned

Jan 14, 2007

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

Enrolled in CT

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Hope Center Inc.

  • Professional Counselor
  • South Windsor, CT
  • NPI 1164178612
  NPD (past)

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1437200888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 N MAIN ST STE A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421973",
            "telephone_number": "860-978-4843",
            "fax_number": "860-649-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N MAIN ST STE A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421973",
            "telephone_number": "860-978-4843",
            "fax_number": "860-649-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHA",
        "first_name": "REBECCA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "005907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004253829",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Avery, MS, LPC-A
• Ashley Christine Ayala
• Eileen Ayala
• B.E.a.U.T.Y, LLC
• Landon Babbin, MS,RD
• Mary C Bade, OTR/L
• Jacqueline Baez
• Nadine E Bailey
• Shayla Bailey
• Marlene Baim, MA,OTR

• Social Worker in Manchester, CT
• Providers in Manchester, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.