Rebecca Ann Maciej, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18532 Issued in MN

Practice address

317 York Ave
Saint Paul, MN 55130-4039

Phone

(651) 774-0011

NPI assigned

Dec 29, 2011

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

Other names 1

• Rebecca Ann Micek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1558630079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 KEEFE ST",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211410",
            "telephone_number": "651-645-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 YORK AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304039",
            "telephone_number": "651-774-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIEJ",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MICEK",
            "middle_name": "ANN",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ciarra Macdougall, PA
• Kelly Machmeier, RD, LD
• Isabel Macia
• Kathryn Macias, RDN
• Jeffrey Maciej, LICSW
• Alexandra Mack
• Anne M Mack, PT
• Nancy Ann Mack, OTR
• Kathleen M Macken, MD
• Cody Mackenzie, ABOC

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.