Individual provider Active NPI

Rebecca Lynn Mott, MSW, P-LCSW

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1902198112
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009004 Issued in NC
Practice address
1250 SE Maynard Rd Ste 204
Cary, NC 27511-6947
Phone
(919) 371-4378
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P005194 NC
Clinical Social Worker 1041C0700X C009004 NC Primary

Addresses

Primary practice location

1250 SE Maynard Rd Ste 204
Cary, NC 27511-6947

Mailing address

902 Bonner Dr
Jamestown, NC 27282-8948
Phone (336) 387-6161

Other practice location 1

315 E Washington St
Greensboro, NC 27401-2911
Phone (336) 387-6161 ext. 2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009004NCMDClinical Social Worker
P005194NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin McArthur, MD, PLLC CurrentSince Apr 6, 2022 Accepting new patients

Locations

1250 SE Maynard Rd
Ste 204
Cary, NC 27511
Phone (919) 457-1598

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1902198112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BONNER DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828948",
            "telephone_number": "336-387-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SE MAYNARD RD STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116947",
            "telephone_number": "919-371-4378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274012911",
            "country_code": "US",
            "telephone_number": "336-387-6161 x2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTT",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW, P-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P005194",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.