Individual provider Active NPI

Rebecca Lynn Mynter, LCSW

  • Clinical Social Worker
  • Oakfield, NY
National Provider Identifier
1982735692
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R31157-1 Issued in NY
Practice address
41 Main St
Oakfield, NY 14125-1014
Phone
(585) 921-1053
Fax
(585) 948-9159
NPI assigned
Mar 7, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R31157-1 NY Primary

Addresses

Primary practice location

41 Main St
Oakfield, NY 14125-1014

Mailing address

41 Main St
Oakfield, NY 14125-1014
Phone (585) 921-1053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170614000165 NY Practitioner - Clinical Social Worker 2961770052 Practice locations: Batavia, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 E Main St
Suite 3334
Batavia, NY 14020-2221
Phone (585) 921-1053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R31157-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Past Accepting new patients
Oakfield Family Medical Care, PLLC PastSince Dec 1, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982735692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MAIN ST",
            "city": "OAKFIELD",
            "state": "NY",
            "postal_code": "141251014",
            "telephone_number": "585-921-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAIN ST",
            "city": "OAKFIELD",
            "state": "NY",
            "postal_code": "141251014",
            "telephone_number": "585-921-1053",
            "fax_number": "585-948-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNTER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R31157-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakfield, NY

Sources for this page

Verify at the official NPI Registry.