Individual provider Active NPI

Rebecca Fauble Lambers, LMSW, CAADC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1679051841
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098144 Issued in MI
Practice address
1059 Bates St SE
Grand Rapids, MI 49506-2680
Phone
(616) 635-9670
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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 6801098144 MI Primary

Addresses

Primary practice location

1059 Bates St SE
Grand Rapids, MI 49506-2680

Mailing address

1059 Bates St SE
Grand Rapids, MI 49506-2680
Phone (616) 635-9670

Other names 1

  • Rebecca Ann Fauble Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180822003457 MI Practitioner - Clinical Social Worker 4789933862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Street Services IncGroup PAC ID 6800707647, 58 clinicians

Practice addresses (Care Compare)

100 Cherry St SE
Grand Rapids, MI 49503-4526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Street Services, Inc Clinical CurrentSince Aug 20, 2018 Accepting new patients
Cherry Street Services, Inc. Social Worker CurrentSince Aug 20, 2018 Accepting new patients

Locations

100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

Interoperability endpoints

  • Direct secure messaging: rebecca.lambers.p1@direct.cherryhealth.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1679051841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 BATES ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062680",
            "telephone_number": "616-635-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 BATES ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062680",
            "telephone_number": "616-635-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERS",
        "first_name": "REBECCA",
        "middle_name": "FAUBLE",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FAUBLE",
            "middle_name": "ANN",
            "credential": "LMSW, CAADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.