Individual provider Active NPI

Rebecca Sue Unternahrer, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Goshen, IN
National Provider Identifier
1639368855
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004337A Issued in IN
Practice address
109 E Clinton St
Ste 10
Goshen, IN 46528-3233
Phone
(574) 535-2325
Fax
(574) 533-5433
NPI assigned
Oct 24, 2007
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004337A IN Primary

Addresses

Primary practice location

109 E Clinton St
Ste 10
Goshen, IN 46528-3233

Mailing address

109 E Clinton St
Ste 10
Goshen, IN 46528-3233
Phone (574) 535-2325

Other identifiers 1

IdentifierTypeStateIssuer
200523390AMedicaidIN

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

State licenses

LicenseStateTypeSpecialty
34004337AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arlen W. Epp Mdiv, MSW, LCSW, Counseling and Coaching Services LLC Clinical Past Accepting new patients
KT Therapy LLC Clinical PastSince Feb 23, 2025 Accepting new patients
Larry Rupp, MSW, LCSW, Counseling Services, LLC Clinical Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1639368855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E CLINTON ST",
            "address_2": "STE 10",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283233",
            "telephone_number": "574-535-2325",
            "fax_number": "574-533-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E CLINTON ST",
            "address_2": "STE 10",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283233",
            "telephone_number": "574-535-2325",
            "fax_number": "574-533-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERNAHRER",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004337A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200523390A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.