Individual provider Active NPI

Rebecca Hunter, LCSW

  • Clinical Social Worker
  • Ellsworth, ME
National Provider Identifier
1477837102
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC14701 Issued in ME
Practice address
95 Main St Ste 5
Ellsworth, ME 04605-1902
Phone
(207) 266-4316
Fax
(207) 422-0122
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 MC14701 ME Primary

Addresses

Primary practice location

95 Main St Ste 5
Ellsworth, ME 04605-1902

Mailing address

PO Box 33
Sullivan, ME 04664-0033
Phone (207) 266-4316

Other practice location 1

16 Kids Peace Way
Ellsworth, ME 04605-3483
Phone (207) 667-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20180126000395 ME Practitioner - Clinical Social Worker 9830458512 Practice locations: Ellsworth, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 School St
Ellsworth, ME 04605-1932
Phone (207) 266-4316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC14701MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1477837102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "SULLIVAN",
            "state": "ME",
            "postal_code": "046640033",
            "telephone_number": "207-266-4316",
            "fax_number": "207-422-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAIN ST STE 5",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051902",
            "telephone_number": "207-266-4316",
            "fax_number": "207-422-0122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Kids Peace Way",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046053483",
            "country_code": "US",
            "telephone_number": "207-667-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2022-03-07",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC14701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.