Individual provider Active NPI

Rebekah N. Jensen, MSW, LCSW

  • Clinical Social Worker
  • Carmel, IN
National Provider Identifier
1679971253
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007622A Issued in IN
Practice address
13751 Hill Crest CT
Carmel, IN 46032-9143
Phone
(317) 975-1040
NPI assigned
Dec 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.018916 IL
Clinical Social Worker 1041C0700X 34007622A IN Primary

Addresses

Primary practice location

13751 Hill Crest CT
Carmel, IN 46032-9143

Mailing address

13751 Hill Crest CT
Carmel, IN 46032-9143
Phone (317) 975-1040

Other practice location 1

230 1st St NE
Carmel, IN 46032-1804
Phone (317) 975-1040

Other practice location 2

250 E Superior St Ste 3-2303
Chicago, IL 60611-2914
Phone (312) 472-0531

Other practice location 3

7120 Clearvista Dr Ste 2000
Indianapolis, IN 46256-1548
Phone (317) 621-7561

Other names 1

  • Rebekah J.C. Niedner Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.018916ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rebekah N. Jensen LCSW LLC Clinical CurrentSince Sep 11, 2022 Accepting new patients

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": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1679971253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13751 HILL CREST CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329143",
            "telephone_number": "317-975-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13751 HILL CREST CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329143",
            "telephone_number": "317-975-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 1st St NE",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460321804",
            "country_code": "US",
            "telephone_number": "317-975-1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 E Superior St Ste 3-2303",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112914",
            "country_code": "US",
            "telephone_number": "312-472-0531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7120 Clearvista Dr Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561548",
            "country_code": "US",
            "telephone_number": "317-621-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "REBEKAH",
        "middle_name": "N.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018916",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007622A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "NIEDNER",
            "middle_name": "J.C.",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.