Active NPI
Rebecca L Kushins, MSW, LICSW
- Clinical Social Worker
- Grafton, MA
National Provider Identifier
1992241897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121290
- Practice address
- 97 Magill Dr
Grafton, MA 01519-1324 - Phone
- (508) 827-8080
- NPI assigned
- Jan 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60681877 | WA | |
| Clinical Social Worker | 1041C0700X | 121290 | MA | Primary |
Addresses
Primary practice location
97 Magill Dr
Grafton, MA 01519-1324
Mailing address
PO Box 23
Grafton, MA 01519-0023
Phone (508) 827-8080
Other practice location 1
12921 231st Ave SE
Issaquah, WA 98027-5413
Phone (808) 344-3808
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebecca.kushins@itherapymail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121290 | MA | MD | Clinical Social Worker |
| LW60681877 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1992241897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23",
"city": "GRAFTON",
"state": "MA",
"postal_code": "015190023",
"telephone_number": "508-827-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 MAGILL DR",
"city": "GRAFTON",
"state": "MA",
"postal_code": "015191324",
"telephone_number": "508-827-8080"
}
],
"practiceLocations": [
{
"address_1": "12921 231st Ave SE",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980275413",
"country_code": "US",
"telephone_number": "808-344-3808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUSHINS",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60681877",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121290",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebecca.kushins@itherapymail.com",
"affiliation": "N",
"endpointDescription": "Secure Encrypted email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "97 Magill Dr",
"city": "Grafton",
"state": "MA",
"country_code": "US",
"postal_code": "015191324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grafton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.