Individual provider Active NPI

Rebecca Lynn Martin, LCSW

  • Clinical Social Worker
  • Mercer, PA
National Provider Identifier
1811279391
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018294 Issued in PA
Practice address
8419 Sharon Mercer Rd Ste 3
Mercer, PA 16137-3169
Phone
(724) 856-0659
NPI assigned
Sep 12, 2011
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 58622 TX
Social Worker 104100000X S.1100640 OH
Clinical Social Worker 1041C0700X CW018294 PA Primary

Addresses

Primary practice location

8419 Sharon Mercer Rd Ste 3
Mercer, PA 16137-3169

Mailing address

8419 Sharon Mercer Rd Ste 3
Mercer, PA 16137-3169
Phone (724) 923-4374

Other identifiers 2

IdentifierTypeStateIssuer
0210850MedicaidOH
1029617040013MedicaidPA

Other names 1

  • Rebecca Lynn Meyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141125001368 PA Practitioner - Clinical Social Worker 1557683786 Reassigns benefits to 1 organization
Practice locations: Mercer, PA
I20211013001551 OH Practitioner - Clinical Social Worker 1557683786 Practice locations: Campbell, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

102 N Pitt St
Mercer, PA 16137-1207
Phone (724) 856-0659

8419 Sharon Mercer Rd
Suite E
Mercer, PA 16137-3139
Phone (724) 923-4374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1100640OHMDSocial Worker
58622TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Michelle L Lombardo Clinical PastSince Jul 1, 2022 Accepting new patients
Mohawk Counseling Services Past Accepting new patients
Sue-Ellen Brown, Psy.D PastSince Nov 1, 2017 Accepting new patients
Terri L Pears LCSW LLC Clinical PastSince Aug 29, 2021 Accepting new patients

Locations

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1811279391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 SHARON MERCER RD STE 3",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161373169",
            "telephone_number": "724-923-4374",
            "fax_number": "724-981-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 SHARON MERCER RD STE 3",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161373169",
            "telephone_number": "724-856-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "58622",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1100640",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210850",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029617040013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MEYER",
            "middle_name": "LYNN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mercer, PA

Sources for this page

Verify at the official NPI Registry.