Rebecca Lynn Crum Koppes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8293-123 Issued in WI

Practice address

4065 N 35TH St
Milwaukee, WI 53216-1705

Phone

(414) 445-9180

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bell Therapy, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Milwaukee, WI
  • NPI 1205987187
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1811240674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 N 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161705",
            "telephone_number": "414-445-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 N 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161705",
            "telephone_number": "414-445-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPES",
        "first_name": "REBECCA",
        "middle_name": "LYNN CRUM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "128141121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8293-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Koplin, M.D.
• Cindy Koplitz
• Emma Kopp, ATC, LAT
• Jeanette Kopp
• Erin E Koppelman, PA
• Shelby Koppinger, PHARMD
• John M Kopriva, MD
• Amanda Ann Kopydlowski, MD
• Kristen Augustina Korankyi, PHARMD, RPH
• Abhilash Koratala, M.D.

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.