Individual provider Active NPI

Rebecca Anne Bosworth

  • Clinical Social Worker
  • Ahwahnee, CA
National Provider Identifier
1508344458
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW83417 Issued in CA
Practice address
44150 Crooks Mountain Rd
Ahwahnee, CA 93601-9748
Phone
(559) 760-1200
NPI assigned
Aug 2, 2018
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 LCSW83417 CA Primary

Addresses

Primary practice location

44150 Crooks Mountain Rd
Ahwahnee, CA 93601-9748

Mailing address

44150 Crooks Mountain Rd
Ahwahnee, CA 93601-9748
Phone (559) 760-9927

Other identifiers 1

IdentifierTypeStateIssuer
83-1122279MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181213001901 CA Practitioner - Clinical Social Worker 3274878640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MaderaGroup PAC ID 6800854597, 5 clinicians

Practice addresses (Care Compare)

209 E 7TH St
Madera, CA 93638-3780
Phone (559) 673-3508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW83417CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Madera CurrentSince May 2, 2024 Accepting new patients

Locations

209 E 7th St
Madera, CA 93638
Phone (559) 395-0451

Organizations & group practices 1

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1508344458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44150 CROOKS MOUNTAIN RD",
            "city": "AHWAHNEE",
            "state": "CA",
            "postal_code": "936019748",
            "telephone_number": "559-760-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44150 CROOKS MOUNTAIN RD",
            "city": "AHWAHNEE",
            "state": "CA",
            "postal_code": "936019748",
            "telephone_number": "559-760-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWORTH",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW83417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-1122279",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahwahnee, CA

Sources for this page

Verify at the official NPI Registry.