Individual provider Active NPI

Rebecca Johnson, LCSW

  • Clinical Social Worker
  • Key West, FL
National Provider Identifier
1699320739
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23192 Issued in FL
Practice address
1200 Kennedy Dr
Key West, FL 33040-4023
Phone
(305) 293-1295
Fax
(305) 292-5873
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 904017179 VA
Clinical Social Worker 1041C0700X SW23192 FL Primary

Addresses

Primary practice location

1200 Kennedy Dr
Key West, FL 33040-4023

Mailing address

1200 Kennedy Dr
Key West, FL 33040-4023
Phone (305) 293-1295

Other names 1

  • Mrs. Rebecca McKamey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250430001091 FL Practitioner - Clinical Social Worker 4183140304 Reassigns benefits to 1 organization
I20251105002228 VA Practitioner - Clinical Social Worker 4183140304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

101 N Monroe St
Suite 800 Private Office 860
Tallahassee, FL 32301-1570
Phone (833) 351-8255

150 Riverside Pkwy
Fredericksburg, VA 22406-1094
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23192FLMDClinical Social Worker
904017179VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA CurrentSince Apr 21, 2025 Accepting new patients

Locations

1301 Riverplace Blvd
Jacksonville, FL 32207

101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108

150 Riverside Pkwy
Ste 115
Fredericksburg, VA 22406
Phone (540) 530-5545

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1699320739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 KENNEDY DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404023",
            "telephone_number": "305-293-1295",
            "fax_number": "305-292-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 KENNEDY DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404023",
            "telephone_number": "305-293-1295",
            "fax_number": "305-292-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "904017179",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MCKAMEY",
            "prefix": "MRS.",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.