Active NPI
Rebecca Kathleen Wilson, MSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1699967299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1376
- Practice address
- 6000 E Evans Ave
Building 3 Suite 100
Denver, CO 80222-5406 - Phone
- (720) 514-3425
- Fax
- (303) 557-6240
- NPI assigned
- Aug 16, 2007
- 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 | 1376 | CO | Primary |
Addresses
Primary practice location
6000 E Evans Ave
Building 3 Suite 100
Denver, CO 80222-5406
Mailing address
PO Box 17688
Golden, CO 80402-6028
Phone (720) 940-8531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91720575 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1376 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1699967299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17688",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804026028",
"telephone_number": "720-940-8531",
"fax_number": "720-542-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 E EVANS AVE",
"address_2": "BUILDING 3 SUITE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "802225406",
"telephone_number": "720-514-3425",
"fax_number": "303-557-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "REBECCA",
"middle_name": "KATHLEEN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "1376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91720575",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.