Individual provider Active NPI

Rebecca Moerbe, LICSW

  • Clinical Social Worker
  • Gardendale, AL
National Provider Identifier
1992391619
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4511C Issued in AL
Practice address
467 Gowins Dr
Gardendale, AL 35071-2707
Phone
(205) 919-5312
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 4511C AL Primary

Addresses

Primary practice location

467 Gowins Dr
Gardendale, AL 35071-2707

Mailing address

467 Gowins Dr
Gardendale, AL 35071-2707
Phone (205) 919-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210301002655 AL Practitioner - Clinical Social Worker 9133535073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Still Waters Counseling and Education CenterGroup PAC ID 3476087362, 7 clinicians

Practice addresses (Care Compare)

400 Office Park Dr
Suite 230
Mountain BRK, AL 35223-3410
Phone (205) 825-1423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4511CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Counseling Center, LLC CurrentSince May 26, 2023 Accepting new patients
Still Waters Counseling and Education Center CurrentSince Dec 16, 2024 Accepting new patients

Locations

217 Country Club Park
Mountain Brk, AL 35213
Phone (205) 276-1895

400 Office Park Dr
Ste 230
Mountain Brk, AL 35223
Phone (205) 825-1423

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1992391619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 GOWINS DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712707",
            "telephone_number": "205-919-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 GOWINS DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712707",
            "telephone_number": "205-919-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERBE",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4511C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.