Individual provider Active NPI

Rebecca Walker, LCSW

  • Clinical Social Worker
  • Lewisville, TX
National Provider Identifier
1760802391
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23729 Issued in TX
Practice address
218 Kielder Dr
Lewisville, TX 75067-6712
Phone
(214) 287-9935
NPI assigned
Apr 22, 2014
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23729 TX Primary
Mental Health Counselor 101YM0800X 23729 TX

Addresses

Primary practice location

218 Kielder Dr
Lewisville, TX 75067-6712

Mailing address

218 Kielder Dr
Lewisville, TX 75067-6712
Phone (214) 287-9935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140625002128 TX Practitioner - Clinical Social Worker 6406071935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alaniz Counseling and Behavioral Center PCGroup PAC ID 0648596924, 57 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

5522 Lone Star Pkwy
Suite 303
San Antonio, TX 78253-6722
Phone (210) 614-4990

600 Congress Ave
Austin, TX 78701-3238
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23729TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Assurasource LTD Clinical CurrentSince Apr 23, 2014 Accepting new patients
Vcounselors PLLC CurrentSince Apr 17, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Apr 17, 2024 Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 4

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1760802391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 KIELDER DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676712",
            "telephone_number": "214-287-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 KIELDER DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676712",
            "telephone_number": "214-287-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "23729",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "23729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.