Active NPI
Rebecca Oachs, MSW, LICSW
- Clinical Social Worker
- Duluth, MN
National Provider Identifier
1952840464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20663
- Practice address
- 1406 E 2ND St
Duluth, MN 55805-2378 - Phone
- (218) 624-5683
- Fax
- (218) 624-5736
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20663 | MN | Primary |
Addresses
Primary practice location
1406 E 2ND St
Duluth, MN 55805-2378
Mailing address
1401 E 1St St
Duluth, MN 55805-2407
Phone (218) 728-4491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20663 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duluth Counseling Center | Current | Accepting new patients | |
| Calibrate, LLC | Current | Accepting new patients | |
| Brightwater Health Dba Human Development Center | Past | Accepting new patients |
Locations
11 E Superior St
Ste 415
Duluth, MN 55802
Phone (218) 249-0595
4560 Norway Pines Pl
Hermantown, MN 55811
Phone (218) 348-1565
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Duluth, MN
- NPI 1619143187
-
- Community/Behavioral Health Agency
- Duluth, MN
- NPI 1679815823
-
- Community/Behavioral Health Agency
- Cloquet, MN
- NPI 1114048527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1952840464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052407",
"telephone_number": "218-728-4491",
"fax_number": "218-730-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 E 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052378",
"telephone_number": "218-624-5683",
"fax_number": "218-624-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OACHS",
"first_name": "REBECCA",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.