Individual provider Active NPI

Rebecca Williams, MSW

  • Clinical Social Worker
  • Silverdale, WA
National Provider Identifier
1447625728
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61213863 Issued in WA
Practice address
3888 NW Randall Way Ste 201
Silverdale, WA 98383-7847
Phone
(360) 698-5883
Fax
(360) 809-6002
NPI assigned
Dec 11, 2015
Last updated
Nov 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW61213863 WA Primary

Addresses

Primary practice location

3888 NW Randall Way Ste 201
Silverdale, WA 98383-7847

Mailing address

3888 NW Randall Way Ste 201
Silverdale, WA 98383-7847
Phone (360) 698-5883

Other identifiers 1

IdentifierTypeStateIssuer
2228875MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20231211000155 WA Practitioner - Clinical Social Worker 6901255447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCS Counseling Group LLCGroup PAC ID 8224485131, 7 clinicians

Practice addresses (Care Compare)

3888 NW Randall Way
Suite 201
Silverdale, WA 98383-7847
Phone (360) 698-5883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCS Counseling Group LLC CurrentSince Sep 25, 2023 Accepting new patients
Kyle McKenzie DC Inc PastSince Nov 1, 2023 Accepting new patients

Locations

3888 NW Randall Way
Ste 201
Silverdale, WA 98383
Phone (360) 698-5883

9633 Levin Rd NW
Ste 100
Silverdale, WA 98383
Phone (360) 698-0315

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1447625728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61213863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228875",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.