Rebecca M Charles, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW129634 Issued in PA

Practice address

2421 Willow Street Pike N
Willow Street, PA 17584-9225

Phone

(717) 464-0621

Fax

(717) 464-0890

NPI assigned

Jul 5, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Weigel Counseling Associates, Inc.

  • Psychologist
  • Willow Street, PA
  • NPI 1134397847
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1710242748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 N DUKE ST",
            "address_2": "2ND FLOOR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022732",
            "telephone_number": "717-917-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 WILLOW STREET PIKE N",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849225",
            "telephone_number": "717-464-0621",
            "fax_number": "717-464-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Burch
• Belinda Hart Busch, LPC
• Jennifer Bushong
• Anita Cheryl Carter
• Change From Within Counseling Services, LLC
• Mary Ellen Clark-Pienciak, RN
• Andrew Clark, CRNP
• Amanda Consylman
• Patricia Lynn Corrao
• Maura Crawshaw, OD

• Social Worker in Willow Street, PA
• Providers in Willow Street, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.