Active NPI
Rebecca Lynn Martin, LCSW
- Clinical Social Worker
- Mercer, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW018294
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210850 | Medicaid | OH | |
| 1029617040013 | Medicaid | PA |
Other names 1
- Rebecca Lynn Meyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1100640 | OH | MD | Social Worker |
| 58622 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Michelle L Lombardo | Clinical | Past | Accepting new patients |
| Mohawk Counseling Services | Past | Accepting new patients | |
| Sue-Ellen Brown, Psy.D | Past | Accepting new patients | |
| Terri L Pears LCSW LLC | Clinical | Past | 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.
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- Clinical Psychologist
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- NPI 1831617596
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- Clinical Social Worker
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.