Rebecca Sue Willard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6637-123 Issued in WI

Practice address

3930 8TH St S
Suite 101
Wisconsin Rapids, WI 54494-6511

Phone

(715) 423-2030

Fax

(715) 423-2032

NPI assigned

May 20, 2008

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

Other identifiers 1

Other names 1

• Becky S Willard Other name

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1467619239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 8TH ST. SOUTH SUITE 101",
            "address_2": "CHILD & ADOLESCENT PSYCHIATRY CONSULTANTS (BEHREND PSYC",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "54494",
            "telephone_number": "715-423-2030",
            "fax_number": "715-423-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 8TH ST S",
            "address_2": "SUITE 101",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946511",
            "telephone_number": "715-423-2030",
            "fax_number": "715-423-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6637-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39771800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "WILLARD",
            "middle_name": "S",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Jane White, RD CDE
• John Charles Whitman, MD
• Jayson Wiernik
• Tricia Wierzba
• James Wilkes, M.D.
• Nicole Ann Williams, MSW
• Sunny Jo Wilson, MSW, CAPSW
• Diane Lynn Winkler
• Arlene F Winter, MS,CCC-SLP
• Wisconsin CVS Pharmacy LLC

• Clinical Social Worker in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.