Mrs Rebecca Jean Faherty, LICSW, LADC1, C-SWHC is a medicare enrolled "Social Worker - Clinical" provider in Brockton, Massachusetts. Her current practice location is
940 Belmont Street, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 583-4500.
Mrs Rebecca Jean Faherty is licensed to practice in Massachusetts (license number 114617) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699860148.
Healthcare Provider's Profile
Full Name | Mrs Rebecca Jean Faherty |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 940 Belmont Street, Brockton, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699860148
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 12/14/2010
Medicare PECOS Information:
- PECOS PAC ID: 5193900298
- Enrollment ID: I20160701000218
Medical Identifiers
Medical identifiers for Mrs Rebecca Jean Faherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699860148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1100 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | 114617 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Rebecca Jean Faherty is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Rebecca Jean Faherty, LICSW, LADC1, C-SWHC 940 Belmont Street, Brockton, MA 02601 Ph: (508) 583-4500 | Mrs Rebecca Jean Faherty, LICSW, LADC1, C-SWHC 940 Belmont Street, Brockton, MA 02601 Ph: (508) 583-4500 |
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