Rebecca Lynn Konarz, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801083801 Issued in MI

Practice address

51500 Birch St Ste C
New Baltimore, MI 48047

Phone

(586) 291-1899

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1609035245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51500 BIRCH ST STE C",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471584",
            "telephone_number": "586-291-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51500 BIRCH ST STE C",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "48047",
            "telephone_number": "586-291-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35587 Brooke Ct",
            "address_purpose": "LOCATION",
            "city": "New Baltimore",
            "state": "MI",
            "postal_code": "480471137",
            "country_code": "US",
            "telephone_number": "586-291-1899",
            "fax_number": "586-273-0107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68560 Stoecker Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "MI",
            "postal_code": "480628125",
            "country_code": "US",
            "telephone_number": "586-291-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONARZ",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CVO138370",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Willowofwonder@att.net",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "51500 Birch St Ste C",
            "city": "New Baltimore",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in New Baltimore, MI
• Providers in New Baltimore, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.