Individual provider Active NPI

Rebecca Fero, LCSW-C

  • Clinical Social Worker
  • Damascus, MD
National Provider Identifier
1487179099
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12020 Issued in MD
Practice address
9908 Durango Dr
Damascus, MD 20872-2365
Phone
(410) 963-5951
Fax
(301) 933-5763
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 12020 MD Primary

Addresses

Primary practice location

9908 Durango Dr
Damascus, MD 20872-2365

Mailing address

9908 Durango Dr
Damascus, MD 20872-2365
Phone (410) 963-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 19, 2026 through May 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12020MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487179099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 DURANGO DR",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722365",
            "telephone_number": "410-963-5951",
            "fax_number": "301-933-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 DURANGO DR",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722365",
            "telephone_number": "410-963-5951",
            "fax_number": "301-933-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERO",
        "first_name": "REBECCA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, MD

Sources for this page

Verify at the official NPI Registry.