MRS. REBECCA JOY BACK LMSW
NPI 1003509308
Social Worker - Clinical in Grand Rapids, MI

Active since June 01, 2023PECOS EnrolledAccepts Medicare Assignment
300 68TH ST SE, GRAND RAPIDS, MI 49548(269) 929-7342 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Rebecca Joy Back Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. REBECCA JOY BACK LMSW (NPI 1003509308) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801116334) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003509308
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. REBECCA JOY BACKCredential: LMSW
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address2520 Powers Ave NwGrand Rapids, MI 49544-1866 · (269) 929-7342
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
NPI 1003509308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801116334
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

300 68TH ST SE, Grand Rapids, MI 49548

Other Names 1

Former Name (1)Miss Rebecca Joy Youdell

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Rebecca Joy Back Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698133692
PECOS Enrollment IDI20230623000999
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychologist
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychologist
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychologist
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE, SUITE B
GRAND RAPIDS, MI 49548
Psychologist
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychologist
300 68TH ST SE
GRAND RAPIDS, MI 49548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Back's NPI number?

The NPI number for Rebecca Back is 1003509308. It was assigned to this individual provider in the NPPES registry on June 1, 2023. The provider is also known as Miss Rebecca Joy Youdell.

Where is Rebecca Back located?

Rebecca Back practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (269) 929-7342.

What is Rebecca Back's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rebecca Back enrolled in Medicare?

Yes. Rebecca Back is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rebecca Back accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Oscar Insurance Company and 2 other insurers list Rebecca Back as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca Back was last updated on June 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.