Active NPI
Rebecca Sue Mowers, MSW, LSW
- Social Worker
- Macomb, IL
National Provider Identifier
1801010509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150011068
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370984175 | Other | IL | BRIDGEWAY INC FEIN |
| 091578101 | Other | IL | MASTERS 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150011068 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Counseling and Life Coaching LLC | Current | 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.
-
- Professional Counselor
- Galesburg, IL
- NPI 1255593315
-
- Counselor
- Macomb, IL
- NPI 1871632794
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.