Rebekah Leibe Shackney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05404100 Issued in NJ

Practice address

85 Hopper Ave
Waldwick, NJ 07463-1517

Phone

(917) 721-2257

NPI assigned

Sep 24, 2009

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

• Miss Rebekah Levine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1992039853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WALGROVE AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222311",
            "telephone_number": "917-721-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HOPPER AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631517",
            "telephone_number": "917-721-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKNEY",
        "first_name": "REBEKAH",
        "middle_name": "LEIBE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05404100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "LEVINE",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krista A. Seabrook, LCSW
• Melissa Anne Segal, M.D.
• Jessica Seidler, LPC
• Howard M. Seigerman, M.D.
• Sensory Taekwondo of Waldwick
• Surina Shah, PHARM.D.
• Dominick Anthony Shao-Berkery
• Gary L Sherman, DC
• Richard G. Sica, O.T.R.
• Daniel A Sievers, PHARMD

• Clinical Social Worker in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.