Individual provider Active NPI

Rebekah Anne Morse, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1629520846
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24531 Issued in MN
Practice address
905 Jefferson Ave Ste 205-1
Saint Paul, MN 55102-4741
Phone
(612) 567-9994
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 24531 MN
Clinical Social Worker 1041C0700X 24531 MN Primary

Addresses

Primary practice location

905 Jefferson Ave Ste 205-1
Saint Paul, MN 55102-4741

Mailing address

895 Palace Ave
Saint Paul, MN 55102-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230327001265 MN Practitioner - Clinical Social Worker 0648644021 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24531MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CGC LLC CurrentSince Jan 13, 2026 Accepting new patients
River Lotus Psychotherapy PLLC CurrentSince Feb 10, 2023 Accepting new patients

Locations

333 Washington Ave N
Minneapolis, MN 55401
Phone (612) 349-2797

905 Jefferson Ave
Ste 2051
Saint Paul, MN 55102
Phone (612) 567-9994

4208 Park Glen Rd
St Louis Park, MN 55416
Phone (612) 825-4792

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1629520846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 PALACE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 JEFFERSON AVE STE 205-1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024741",
            "telephone_number": "612-567-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "REBEKAH",
        "middle_name": "ANNE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "24531",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.