Rebecca Weber, LMSW
Social Worker, Clinical in Stony Brook, NY. Individual provider (NPI-1).
NPI number1962064667
StatusActive
Last updated in NPPESMay 18, 2026
Details
- NPI
- 1962064667
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Weber
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2019
- Certification date
- May 18, 2026
- Last updated
- May 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 102836-01 | NY | Yes |
Practice location
1413 Stony Brook RdStony Brook, NY 11790-2214
Phone 631-444-0101
Mailing address
1413 Stony Brook RdStony Brook, NY 11790-2214
Phone 631-444-0101
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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