Rebecca Vandenburgh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005310A Issued in IN

Practice address

5101 E. US Hwy 36
Suite 100
Avon, IN 46123

Phone

(317) 745-9555

Fax

(317) 745-9565

NPI assigned

Sep 4, 2007

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

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.

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indy Counseling Professionals LLCGroup PAC ID 7517492697, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Indy Counseling Professionals LLC

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1023368313
  Care Compare group NPD
• Think Well Live Well

  • Social Worker
  • Indianapolis, IN
  • NPI 1508591710
  NPD Authorized official
• St. Vincent Hospital & Health Care Center, Inc.

  • Community/Retail Pharmacy
  • Indianapolis, IN
  • NPI 1194929646
  NPD (past)
• St. Vincent Hospital & Health Care Center, Inc.

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1689869893
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1922292986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 SUNNYFIELD CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462283100",
            "telephone_number": "317-522-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 E. US HWY 36",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-745-9555",
            "fax_number": "317-745-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBURGH",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005310A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Unroe, MD
• Urology of Indiana L.L. C.
• Michelle F Vallejos
• Laurie Marie Van Donselaar, DO
• Emileah Van Matre, D.C.
• Stephanie Vanlue, RBT
• Tamara Maxine Vanwinkle, MSW, LCSW
• Moriah Veach
• Velez Dental Group, LLC
• Juan Esteban Velez, D.D.S.

• Clinical Social Worker in Avon, IN
• Providers in Avon, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.