Camilla French Rebuck, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00941000 Issued in WV

Practice address

51 Street of Dreams
Martinsburg, WV 25403-1134

Phone

(304) 264-1442

Fax

(204) 254-4317

NPI assigned

Feb 27, 2013

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

Medicare fee-for-service enrollment

Enrolled in WV

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

West Coast Chiropractic College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eastern Panhandle Psychiatry IncGroup PAC ID 9931154176, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eastern Panhandle Psychiatry, Inc

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1407930225
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1508106550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MICHAELS CHAPEL RD",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254273974",
            "telephone_number": "304-258-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STREET OF DREAMS",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031134",
            "telephone_number": "304-264-1442",
            "fax_number": "204-254-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBUCK",
        "first_name": "CAMILLA",
        "middle_name": "FRENCH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00941000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathyrn Denise Ray, LCSW
• Jessie L Rayl, MA, LPC
• Katelyn Raymond
• Hope Anne Reagan
• Sebastian Reboul, PHARMD
• Cristina Recchia
• Keith A Recht, MD
• Karrie Reckner
• Red Canyon, LLC
• Emily Redman, OTR/L

• Clinical Social Worker in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.