Individual provider Active NPI

Rebecca Ketterer

  • Clinical Social Worker
  • Quakertown, PA
National Provider Identifier
1851821078
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
524 W Broad St
Quakertown, PA 18951-1216
Phone
(215) 527-8012
NPI assigned
Jun 20, 2017
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

524 W Broad St
Quakertown, PA 18951-1216

Mailing address

1037 Heather LN
Quakertown, PA 18951-2593
Phone (267) 424-3866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250613002238 PA Practitioner - Clinical Social Worker 5799296075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Apr 10, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 10, 2025 Accepting new patients

Locations

156 S Bethlehem Pike
Ambler, PA 19002
Phone (215) 767-7096

309 N Sumneytown Pike
North Wales, PA 19454
Phone (215) 767-7096

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

Interoperability endpoints

  • Direct secure messaging: rebecca.ketterer.1@28623.direct.athenahealth.com

Organizations & group practices 2

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1851821078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 HEATHER LN",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189512593",
            "telephone_number": "267-424-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511216",
            "telephone_number": "215-527-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERER",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.