Individual provider Active NPI

Rebecca I Streem, LISW

  • Social Worker
  • Mayfield Village, OH
National Provider Identifier
1649208778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I4390 Issued in OH
Practice address
6690 Beta Drive, Ste. 312
Mayfield Village, OH 44143
Phone
(440) 446-9696
Fax
(440) 449-1435
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I4390 OH Primary

Addresses

Primary practice location

6690 Beta Drive, Ste. 312
Mayfield Village, OH 44143

Mailing address

6690 Beta Drive, Ste. 312
Mayfield Village, OH 44143
Phone (440) 446-9696

Other names 1

  • Becky I Streem Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231011002441 OH Practitioner - Clinical Social Worker 3173502853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I4390OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC CurrentSince Sep 27, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC PastSince Jan 1, 2013 Accepting new patients
Spectrum Psychological Associates, Inc Social Worker PastSince Apr 19, 2006 Accepting new patients
Sharon Rose-Rego, PH.D., LLC Past Accepting new patients
Diane Eden, MD & Associates, Inc. PastSince Mar 27, 2004 Accepting new patients

Locations

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

Organizations & group practices 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649208778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 BETA DRIVE, STE. 312",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-446-9696",
            "fax_number": "440-449-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 BETA DRIVE, STE. 312",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-446-9696",
            "fax_number": "440-449-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREEM",
        "first_name": "REBECCA",
        "middle_name": "I",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I4390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "STREEM",
            "middle_name": "I",
            "credential": "LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mayfield Village, OH

Sources for this page

Verify at the official NPI Registry.