Individual provider Active NPI

Rebecca Sue Mowers, MSW, LSW

  • Social Worker
  • Macomb, IL
National Provider Identifier
1801010509
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150011068 Issued in IL
Practice address
516 E Jackson St
Macomb, IL 61455-2311
Phone
(309) 836-6500
Fax
(309) 836-6506
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150011068 IL Primary

Addresses

Primary practice location

516 E Jackson St
Macomb, IL 61455-2311

Mailing address

1117 Hawkinson Ave
Apt-5
Galesburg, IL 61401-2486
Phone (309) 238-0322

Other identifiers 2

IdentifierTypeStateIssuer
370984175OtherILBRIDGEWAY INC FEIN
091578101OtherILMASTERS TEST ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150604000025 IL Practitioner - Clinical Social Worker 9133443864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crossroads Counseling and Life Coaching LLCGroup PAC ID 9436473162, 6 clinicians

Practice addresses (Care Compare)

575 N Kellogg St
Suite 4
Galesburg, IL 61401-7609
Phone (309) 343-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150011068ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling and Life Coaching LLC CurrentSince May 1, 2015 Accepting new patients
Counseling Perspectives, LLC Past Accepting new patients

Locations

575 N Kellogg St
Ste 4
Galesburg, IL 61401
Phone (309) 343-0800

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1801010509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 HAWKINSON AVE",
            "address_2": "APT-5",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012486",
            "telephone_number": "309-238-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552311",
            "telephone_number": "309-836-6500",
            "fax_number": "309-836-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWERS",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150011068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRIDGEWAY INC FEIN",
            "identifier": "370984175",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTERS TEST ID",
            "identifier": "091578101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

Verify at the official NPI Registry.