Rebecca Lynne Bermudez, LISW, RIMHC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-04591 Issued in NM

Practice address

128 Grant Ave Ste 221
Santa Fe, NM 87501-2031

Phone

(505) 820-0155

Fax

(505) 820-0155

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pueblo of Jemez

  • Clinic/Center
  • Jemez Pueblo, NM
  • NPI 1417082215
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689732224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 GRANT AVE STE 221",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012031",
            "telephone_number": "505-820-0155",
            "fax_number": "505-820-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 GRANT AVE STE 221",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012031",
            "telephone_number": "505-820-0155",
            "fax_number": "505-820-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "credential": "LISW, RIMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-04591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborra Berlin, LCSW
• Lydia Berlin
• Steve Berlyn, LISW ACSW
• Fred Berman
• Jennifer Bermudez-Trujillo
• Veronica Bernal, BMS
• Bernard R. Gavron D.D.S., P.C.
• Sameul A Berne, OD, FCOVD
• Jennifer Berning, LCSW
• Christopher Bernschein, MFT

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.