Rebecca Jane Tulloch, MSW, RCSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW19669 Issued in FL

Practice address

2808 Enterprise Rd Ste 105
Debary, FL 32713-2753

Phone

(386) 259-5413

Fax

(386) 753-9265

NPI assigned

Feb 7, 2024

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1851155170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 ENTERPRISE RD STE 105",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132753",
            "telephone_number": "386-259-5413",
            "fax_number": "386-753-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 ENTERPRISE RD STE 105",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132753",
            "telephone_number": "386-259-5413",
            "fax_number": "386-753-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLOCH",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "credential": "MSW, RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW19669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Carol Thompson Jr., MD
• Deepak Tikku, M.D.
• Together in Health, Inc
• Total Vision PA
• Anthony Joseph Tucker, PA-C
• Orly Tyrkala, PHARM. D.
• Ultimate Medical Clinic LLC
• Rosendo De Jesus Urena, APRN
• Wanda Kay Vasquez, OT
• Nicole Teresa Velazquez, RBT

• Clinical Social Worker in Debary, FL
• Providers in Debary, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.