Individual provider Active NPI

Rebecca Joan Joseph, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1700972643
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
030490-1 Issued in NY
Practice address
1800 English Rd Ste 5
Rochester, NY 14616-1600
Phone
(585) 225-9292
Fax
(585) 225-9393
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 030490-1 NY Primary

Addresses

Primary practice location

1800 English Rd Ste 5
Rochester, NY 14616-1600

Mailing address

1800 English Rd Ste 5
Rochester, NY 14616-1600
Phone (585) 225-9292

Other practice location 1

16 N Goodman
Suite 227
Rochester, NY 14607-1554
Phone (585) 719-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180507001401 NY Practitioner - Clinical Social Worker 7315201977 Practice locations: Rochester, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030490-1NYMDClinical Social Worker
030490NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700972643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ENGLISH RD STE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161600",
            "telephone_number": "585-225-9292",
            "fax_number": "585-225-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ENGLISH RD STE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161600",
            "telephone_number": "585-225-9292",
            "fax_number": "585-225-9393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 N Goodman",
            "address_2": "Suite 227",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146071554",
            "country_code": "US",
            "telephone_number": "585-719-2008",
            "fax_number": "585-232-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "REBECCA",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "030490-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.