Organization Active NPI

Rebecca Stilling LCSW a Professional Social Work Corporation

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1558727503
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1544 Issued in LA
Legal business name
REBECCA STILLING LCSW A PROFESSIONAL SOCIAL WORK CORPORATION
Practice address
4902 Canal St
Suite 404
New Orleans, LA 70119-5840
Phone
(504) 482-8409
Fax
(504) 482-8409
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca Stilling, MSWNPI 1427007186
Title
President/Owner
Phone
(504) 888-0727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1544 LA Primary

Addresses

Primary practice location

4902 Canal St
Suite 404
New Orleans, LA 70119-5840

Mailing address

1908 Houma Blvd
Metairie, LA 70001-2531
Phone (504) 888-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160226000351 LA Part B Supplier - Clinic/Group Practice 6204131428 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1558727503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012531",
            "telephone_number": "504-888-0727",
            "fax_number": "504-888-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 CANAL ST",
            "address_2": "SUITE 404",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195840",
            "telephone_number": "504-482-8409",
            "fax_number": "504-482-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA STILLING LCSW A PROFESSIONAL SOCIAL WORK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "STILLING",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "504-888-0727",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.