Active NPI
Rea E Rabinowitz, M.S.W.
- Clinical Social Worker
- Southbridge, MA
National Provider Identifier
1790838738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104195
- Practice address
- 63 Everett St
Southbridge, MA 01550-2619 - Phone
- (508) 764-2736
- Fax
- (508) 764-4243
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 104195 | MA | Primary |
Addresses
Primary practice location
63 Everett St
Southbridge, MA 01550-2619
Mailing address
63 Everett St
Southbridge, MA 01550-2619
Phone (508) 764-2736
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 714828 | Other | MA | TUFTS HEALTH PLAN |
| RAP02236 | Other | MA | BCBS OF MA |
| 15124 | Other | MA | CIGNA BEHAVIORAL HEALTH |
| 023080000 | Other | MA | MAGELLAN BEHAVIORALHEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104195 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790838738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 EVERETT ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502619",
"telephone_number": "508-764-2736",
"fax_number": "508-764-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 EVERETT ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502619",
"telephone_number": "508-764-2736",
"fax_number": "508-764-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABINOWITZ",
"first_name": "REA",
"middle_name": "E",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "104195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "714828",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "RAP02236",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "15124",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORALHEALTH",
"identifier": "023080000",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.