Rebecca Pettersson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112422 Issued in TX

Practice address

19106 US Highway 281 N Ste 101
San Antonio, TX 78258-4988

Phone

(210) 953-0840

Fax

(210) 783-1991

NPI assigned

Apr 17, 2026

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

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1780528836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 MARIETTA LN",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19106 US HIGHWAY 281 N STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584988",
            "telephone_number": "210-953-0840",
            "fax_number": "210-783-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTERSSON",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "112422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Petro, PT
• Arielle Charisse Petroff, LPC
• Peter A Petroff, M.D.
• Berekat Beyene Petros, LPC
• Diana Petrosyan, MD, MPH
• Dawn Dee Pettit
• Catherine Marie Petty, MS, CCC SLP
• Don Ray Petty, DDS
• Jasmine Petty
• Kayla Petty

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.