Active NPI
Rebecca Anne Bosworth
- Clinical Social Worker
- Ahwahnee, CA
National Provider Identifier
1508344458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW83417
- Practice address
- 44150 Crooks Mountain Rd
Ahwahnee, CA 93601-9748 - Phone
- (559) 760-1200
- NPI assigned
- Aug 2, 2018
- Last updated
- Sep 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-1122279 | Medicaid | CA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW83417 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Madera | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.