Rebecca Burr, MSW
Individual provider Active NPI Social Worker · Minooka, IL
NPI 1972158244 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1972158244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 304 W Mondamin St Ste 104
Minooka, IL 60447-4618 - Phone
- (815) 274-7308
- Fax
- (866) 545-0876
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
304 W Mondamin St Ste 104
Minooka, IL 60447-4618
Mailing address
14004 S Marybrook Dr Ste 4
Plainfield, IL 60544-3566
Phone (319) 830-9471
Other providers in Minooka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.