Individual provider Active NPI

Rebekah Saxanoff, LCSW

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1669519104
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004634 Issued in NC
Practice address
790 Cardinal Rd
New Bern, NC 28562-5202
Phone
(252) 259-5419
Fax
(252) 636-1100
NPI assigned
Feb 1, 2007
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 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 C004634 NC Primary

Addresses

Primary practice location

790 Cardinal Rd
New Bern, NC 28562-5202

Mailing address

790 Cardinal Rd
New Bern, NC 28562-5202
Phone (252) 259-5419

Other identifiers 2

IdentifierTypeStateIssuer
6002852MedicaidNC
13686OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040929001016 NC Practitioner - Clinical Social Worker 3476522103 Practice locations: New Bern, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

790 Cardinal Rd
New Bern, NC 28562-5202
Phone (252) 259-5419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1669519104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CARDINAL RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625202",
            "telephone_number": "252-259-5419",
            "fax_number": "252-636-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CARDINAL RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625202",
            "telephone_number": "252-259-5419",
            "fax_number": "252-636-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXANOFF",
        "first_name": "REBEKAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002852",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13686",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.