Active NPI
Rebecca Dyste Rawczak, M.S.W.
- Clinical Social Worker
- Kirkland, WA
National Provider Identifier
1558536722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 250 Market St
Kirkland, WA 98033-6132 - Phone
- (425) 365-5118
- NPI assigned
- Apr 28, 2008
- 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 | Primary |
Addresses
Primary practice location
250 Market St
Kirkland, WA 98033-6132
Mailing address
250 Market St
Kirkland, WA 98033-6132
Phone (425) 365-5118
Other names 1
- Ms. Rebecca Ruth Dyste
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1558536722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MARKET ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336132",
"telephone_number": "425-365-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MARKET ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336132",
"telephone_number": "425-365-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWCZAK",
"first_name": "REBECCA",
"middle_name": "DYSTE",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "DYSTE",
"middle_name": "RUTH",
"prefix": "MS.",
"credential": "M.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.