NPIMap

Individual provider Active NPI

Rebecca Minor, LCSW

  • Clinical Social Worker
  • Marlborough, MA
National Provider Identifier
1801264593
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
220906 Issued in MA
Practice address
56 Framingham Rd
Marlborough, MA 01752-3260
Phone
(508) 481-8077
Fax
(508) 481-6680
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 220906 MA Primary

Addresses

Primary practice location

56 Framingham Rd
Marlborough, MA 01752-3260

Mailing address

56 Framingham Rd
Marlborough, MA 01752-3260
Phone (508) 481-8077

Other names 1

  • Rebecca Patterson Former name

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

LicenseStateTypeSpecialty
220906MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Therapy Collective, Inc. Current Accepting new patients
Jri Past Accepting new patients

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1801264593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FRAMINGHAM RD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523260",
            "telephone_number": "508-481-8077",
            "fax_number": "508-481-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRAMINGHAM RD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523260",
            "telephone_number": "508-481-8077",
            "fax_number": "508-481-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "220906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PATTERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.