Active NPI
Rebecca Wilson, LCSW
- Clinical Social Worker
- Southington, CT
National Provider Identifier
1669740510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007790
- Practice address
- 129 Hitching Post Dr
Southington, CT 06489-2862 - Phone
- (860) 426-0490
- NPI assigned
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007790 | CT | Primary |
Addresses
Primary practice location
129 Hitching Post Dr
Southington, CT 06489-2862
Mailing address
129 Hitching Post Dr
Southington, CT 06489-2862
Phone (860) 426-0490
Other practice location 1
331 Wethersfield Ave
Hartford, CT 06114-1420
Phone (860) 236-4511 ext. 3450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 10, 2026 through Apr 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007790 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1669740510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 HITCHING POST DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064892862",
"telephone_number": "860-426-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 HITCHING POST DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064892862",
"telephone_number": "860-426-0490"
}
],
"practiceLocations": [
{
"address_1": "331 Wethersfield Ave",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061141420",
"country_code": "US",
"telephone_number": "860-236-4511 x3450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.