Individual provider Active NPI

Michelle Marie Rabbas, LCSW

  • Clinical Social Worker
  • Peckville, PA
National Provider Identifier
1730542952
Registry record updated Oct 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020068 Issued in PA
Practice address
1418 Main St Ste 207
Peckville, PA 18452-2050
Phone
(570) 277-1123
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2021

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 CW020068 PA Primary

Addresses

Primary practice location

1418 Main St Ste 207
Peckville, PA 18452-2050

Mailing address

1234 Main St Apt 1L
Dickson City, PA 18519-1341
Phone (570) 498-1257

Other practice location 1

1145 Northern Blvd
South Abington Township, PA 18411-2221
Phone (570) 585-1300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrabbas@thewrightcenter.medentdirect.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Electric City Counseling Clinical CurrentSince Oct 24, 2021 Accepting new patients
Integrated Behavioral Health Services, LLC Clinical PastSince Jul 17, 2022 Accepting new patients

Locations

1418 Main St
Ste 207
Peckville, PA 18452
Phone (570) 277-1123

Interoperability endpoints

  • Direct secure messaging: mrabbas@thewrightcenter.medentdirect.com

Organizations & group practices 2

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1730542952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 MAIN ST APT 1L",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191341",
            "telephone_number": "570-498-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MAIN ST STE 207",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522050",
            "telephone_number": "570-277-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "South Abington Township",
            "state": "PA",
            "postal_code": "184112221",
            "country_code": "US",
            "telephone_number": "570-585-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABBAS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrabbas@thewrightcenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "HISP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1145 Northern Blvd",
            "city": "South Abington Township",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184112221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peckville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.