Rebekah Hayes Auld
Individual provider Active NPI Clinical Social Worker · Jbsa - Lackland Afb, TX
NPI 1811265440 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1811265440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9393 (CT)
- Practice address
- 59 MDW
1100 Wilford Hall Loop
Jbsa - Lackland Afb, TX 78236 - Phone
- (210) 916-9900
- NPI assigned
- Dec 9, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9393 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 9393 | CT | Yes |
Addresses
Primary practice location
59 MDW
1100 Wilford Hall Loop
Jbsa - Lackland Afb, TX 78236
Mailing address
59 MDW
1100 Wilford Hall Loop
Jbsa - Lackland Afb, TX 78236
Phone (210) 916-9900
Other providers in Jbsa - Lackland Afb, TX
All providers in Jbsa - Lackland Afb, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.