Individual provider Active NPI

Rebecca Marie Mackin, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1982907341
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018373 Issued in PA
Practice address
200 Cedar Ridge Dr
Suite 208
Pittsburgh, PA 15205-9691
Phone
(412) 921-7000
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW127719 PA
Clinical Social Worker 1041C0700X CW018373 PA Primary

Addresses

Primary practice location

200 Cedar Ridge Dr
Suite 208
Pittsburgh, PA 15205-9691

Mailing address

5010 Oak Point Dr
MC Kees Rocks, PA 15136-1581
Phone (412) 721-7523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW127719PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lytle Behavioral Health Inc Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1982907341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 OAK POINT DR",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361581",
            "telephone_number": "412-721-7523",
            "fax_number": "412-721-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CEDAR RIDGE DR",
            "address_2": "SUITE 208",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152059691",
            "telephone_number": "412-921-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIN",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127719",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.