Organization Active NPI

Rebecca Seitz LCSW, LLC

  • Clinical Social Worker
  • Fulton, MO
National Provider Identifier
1871905026
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003347 Issued in MO
Legal business name
REBECCA SEITZ LCSW, LLC
Practice address
2625 Fairway Dr
Fulton, MO 65251-4023
Phone
(573) 544-4023
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Rebecca Marie Seitz, LCSW
Title
Counselor
Phone
(573) 544-4023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 003347 MO Primary

Addresses

Primary practice location

2625 Fairway Dr
Fulton, MO 65251-4023

Mailing address

301 Court St
PO Box 104
Fulton, MO 65251-7900

National Provider Directory

National Provider Directory

Locations

301 Court St
Unit 104
Fulton, MO 65251

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1871905026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 COURT ST",
            "address_2": "PO BOX 104",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652517900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 FAIRWAY DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652514023",
            "telephone_number": "573-544-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA SEITZ LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "573-544-4023",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.