Active NPI
Rebeca Corona
- Clinical Social Worker
- Worland, WY
National Provider Identifier
1679039192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PCSW-721
- Practice address
- 1200 Culbertson Ave
Worland, WY 82401 - Phone
- (307) 431-8005
- NPI assigned
- Feb 20, 2019
- Last updated
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
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 | PCSW-721 | WY | Primary |
Addresses
Primary practice location
1200 Culbertson Ave
Worland, WY 82401
Mailing address
1500 Crest Way
Worland, WY 82401
Phone (307) 431-9767
Other names 1
- Miss Rebeca Alcaraz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCSW-721 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KDS & Ass | Past | Accepting new patients | |
| KDS & Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Worland, WY
- NPI 1346674033
-
- Psychologist
- Worland, WY
- NPI 1497182851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1679039192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CREST WAY",
"city": "WORLAND",
"state": "WY",
"postal_code": "82401",
"telephone_number": "307-431-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CULBERTSON AVE",
"city": "WORLAND",
"state": "WY",
"postal_code": "82401",
"telephone_number": "307-431-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONA",
"first_name": "REBECA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "PCSW-721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECA",
"last_name": "ALCARAZ",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Worland, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.