Rebecca Dekorne

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801102910 Issued in MI

Practice address

4467 Cascade Rd SE Ste 4479
Grand Rapids, MI 49546-3776

Phone

(616) 264-5414

NPI assigned

Jul 19, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1659924504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 WOODMERE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 CASCADE RD SE STE 4479",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463776",
            "telephone_number": "616-264-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKORNE",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Dekker
• Zoey Marie Dekker, MS OTR/L
• Andrew Dekkinga, RN
• Kayla Jane Dekkinga, MS CCC SLP
• Michael James Dekock
• Jamie Lauren Dekorte, RN, BSN
• Mark Dekraker, OTR/L
• Lanae Dekryger, OTR/L
• Lewis Dekryger, MD
• Stephanie Renae Dekryger, OTR/L

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Jul 19, 2019; 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.