Individual provider Active NPI

Rebecca Lynn Maffetone, LMSW, CAADC, CCS-M

  • Clinical Social Worker
  • Washington, MI
National Provider Identifier
1992827190
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801074044 Issued in MI
Practice address
7730 Smale St
Washington, MI 48094-3501
Phone
(586) 604-1339
Fax
(586) 731-0698
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 6801074044 MI Primary

Addresses

Primary practice location

7730 Smale St
Washington, MI 48094-3501

Mailing address

7730 Smale St
Washington, MI 48094-3501
Phone (586) 604-1339

Other names 1

  • Rebecca Lynn Stockwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050725000665 MI Practitioner - Clinical Social Worker 5496782179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alternative Solutions Counseling LLCGroup PAC ID 6002135266, 2 clinicians

Practice addresses (Care Compare)

7730 Smale St
Washington, MI 48094-3501
Phone (586) 604-1339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801074044MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Solutions Counseling LLC Clinical CurrentSince Apr 13, 2015 Accepting new patients

Locations

7730 Smale St
Washington Twp, MI 48094
Phone (586) 604-1339

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1992827190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 SMALE ST",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943501",
            "telephone_number": "586-604-1339",
            "fax_number": "586-731-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 SMALE ST",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943501",
            "telephone_number": "586-604-1339",
            "fax_number": "586-731-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFFETONE",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "LMSW, CAADC, CCS-M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801074044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "STOCKWELL",
            "middle_name": "LYNN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, MI

Sources for this page

Verify at the official NPI Registry.