Individual provider Active NPI

Rebekah Harding

  • Clinical Social Worker
  • Woodburn, OR
National Provider Identifier
1700253267
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1310 Meridian Dr
Woodburn, OR 97071-9668
Phone
(503) 953-0310
NPI assigned
Aug 31, 2015
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Behavior Analyst 103K00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1310 Meridian Dr
Woodburn, OR 97071-9668

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216

Other practice location 1

435 NE Evans St Ste A
McMinnville, OR 97128-4635
Phone (503) 472-4020

Other practice location 2

617 NE Davis St
McMinnville, OR 97128
Phone (503) 472-4020

Other identifiers 1

IdentifierTypeStateIssuer
500673381MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240312000276 OR Practitioner - Clinical Social Worker 1052757127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Community Services Northwest CurrentSince Feb 19, 2023 Accepting new patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 20, 2025 Accepting new patients
Brightways Counseling Group LLC Clinical CurrentSince Feb 27, 2024 Accepting new patients

Locations

435 NE Evans St
Ste A
McMinnville, OR 97128
Phone (503) 472-4020

7515 Falcon Crest Dr
#200
Redmond, OR 97756

7515 Falcon Crest Dr
Ste 200
Redmond, OR 97756
Phone (541) 693-4669

1310 Meridian Dr
Woodburn, OR 97071
Phone (503) 509-8414

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1700253267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MERIDIAN DR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719668",
            "telephone_number": "503-953-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 NE Evans St Ste A",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971284635",
            "country_code": "US",
            "telephone_number": "503-472-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 NE Davis St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "97128",
            "country_code": "US",
            "telephone_number": "503-472-4020",
            "fax_number": "503-472-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDING",
        "first_name": "REBEKAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500673381",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

Verify at the official NPI Registry.