Rebecca Kathryn Richendollar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

214565 Issued in MA

Practice address

105 Victory Rd
Dorchester, MA 02122-3518

Phone

(617) 619-6932

NPI assigned

Dec 19, 2007

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

Other names 1

• Rebecca Karthryn Dietrich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Olivewood Counseling

  • Clinical Social Worker
  • Bethlehem, PA
  • NPI 1518266782
  NPD (past) Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1962686436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BATH PIKE",
            "address_2": "SUITE 510",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "610-417-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VICTORY RD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223518",
            "telephone_number": "617-619-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHENDOLLAR",
        "first_name": "REBECCA",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "214565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DIETRICH",
            "middle_name": "KARTHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Ribak, MS, OTR/L
• Reynaldo Christy Riboul, DMD
• Venice Inez Rice-Bell, RN
• Carlotta Richardson
• Kyle Richardson, BACHELOR OF ARTS
• Ashari Rosemarie Ricketts
• Melissa Rideout, PH.D.
• Eileen Ridge
• Chavely Rijo, RN
• Lauren Riley

• Clinical Social Worker in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.