Rebecca Gavin, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

221 Maitland St Ste 204
Bel Air, MD 21014

Phone

(443) 787-4482

NPI assigned

Aug 26, 2019

Last updated

Sep 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 8, 2024 through Jan 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1932757713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAITLAND ST STE 204",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAITLAND ST STE 204",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "443-787-4482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046819",
            "country_code": "US",
            "telephone_number": "410-938-5452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046819",
            "country_code": "US",
            "telephone_number": "410-938-5452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "REBECCA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toynesha Nicole Gartley
• Gary Reznik D.D.S., P.a.
• Laura N Gaskill, PA
• Mary Tupper Gately, LCSW-C
• Jennifer Anne Gattuso, D.O.
• Eryn Lynn Gaynor
• Jayson Andrew Gaza, DPT
• Gba Counseling and Instructional Services LLC
• Courtney Gehman
• Clarence Winfred Gehris Jr., M.D.

• Clinical Social Worker in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.