Individual provider Active NPI

Rebecca Sisley McIntyre, LCSW

  • Clinical Social Worker
  • Collegeville, PA
National Provider Identifier
1538687074
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008448 Issued in VA
Practice address
1001 Arborview Blvd Unit 1318
Collegeville, PA 19426-4041
Phone
(919) 672-3928
Fax
(434) 961-2556
NPI assigned
Sep 5, 2017
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 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 0904008448 VA Primary

Addresses

Primary practice location

1001 Arborview Blvd Unit 1318
Collegeville, PA 19426-4041

Mailing address

230 Giralda CT
Crozet, VA 22932-1594
Phone (919) 672-3928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180118000252 VA Practitioner - Clinical Social Worker 1456610542 Practice locations: Collegeville, PA
I20251223004274 PA Practitioner - Clinical Social Worker 1456610542 Practice locations: Collegeville, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1001 Arborview Blvd
Unit 1318
Collegeville, PA 19426-4032

1001 Arborview Blvd
Unit 1318
Collegeville, PA 19426-4041
Phone (919) 672-3928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1538687074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GIRALDA CT",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229321594",
            "telephone_number": "919-672-3928",
            "fax_number": "434-961-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ARBORVIEW BLVD UNIT 1318",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264041",
            "telephone_number": "919-672-3928",
            "fax_number": "434-961-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "REBECCA",
        "middle_name": "SISLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.