Active NPI
Rebecca Seitz LCSW, LLC
- Clinical Social Worker
- Fulton, MO
National Provider Identifier
1871905026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 003347
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.