Individual provider Active NPI

Rita K. McCrerey, LCSW

  • Clinical Social Worker
  • La Mesa, CA
National Provider Identifier
1669428157
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12880 Issued in CA
Practice address
5575 Lake Park Way Ste 114
La Mesa, CA 91942-1674
Phone
(619) 922-6059
Fax
(619) 463-8986
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 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 LCS12880 CA Primary

Addresses

Primary practice location

5575 Lake Park Way Ste 114
La Mesa, CA 91942-1674

Mailing address

5575 Lake Park Way Ste 114
La Mesa, CA 91942-1674
Phone (619) 922-6059

Other names 1

  • Rita K. McCrerey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060713000120 CA Practitioner - Clinical Social Worker 8729091855 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1545 Hotel Cir S
Suite 250
San Diego, CA 92108-3428
Phone (619) 922-6059

Ste
250 1545 Hotel Cir S
San Diego, CA 92108-3428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS12880CAMDClinical Social Worker
12880CAMDSpeech-Language Pathologist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1669428157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 LAKE PARK WAY STE 114",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421674",
            "telephone_number": "619-922-6059",
            "fax_number": "619-463-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 LAKE PARK WAY STE 114",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421674",
            "telephone_number": "619-922-6059",
            "fax_number": "619-463-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREREY",
        "first_name": "RITA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "MCCREREY",
            "middle_name": "K.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.