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REBEKAH R HAGE LICSW
NPI 1063719912
Social Worker - Clinical in Bothell, WA

Active since February 11, 2011Opted out of Medicare · through Apr 1, 2028
18516 101ST AVE NE STE 4, BOTHELL, WA 98011(425) 264-4245 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebekah R Hage Licsw NPPES

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

REBEKAH R HAGE LICSW (NPI 1063719912) is an individual clinical provider in Bothell, Washington, licensed in Washington (LW61437904) and active in the NPI registry since February 2011. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1063719912
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBEKAH R HAGECredential: LICSW
Location Address18516 101ST AVE NE STE 4Bothell, WA 98011-3874
Mailing Address18516 101st Ave Ne Ste 4Bothell, WA 98011-3874 · (425) 264-4245
Phone(425) 264-4245
Sole ProprietorNo
Enumeration DateFebruary 11, 2011
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1063719912 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 WA · LW61437904
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.
18516 101ST AVE NE STE 4, Bothell, WA 98011
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rebekah R Hage Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Rebekah Hage's NPI number?

The NPI number for Rebekah Hage is 1063719912. It was assigned to this individual provider in the NPPES registry on February 11, 2011.

Where is Rebekah Hage located?

Rebekah Hage practices at 18516 101st Ave NE Ste 4, Bothell, WA 98011. The listed phone number is (425) 264-4245.

What is Rebekah Hage's specialty?

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

Is Rebekah Hage enrolled in Medicare?

No. Rebekah Hage has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebekah Hage was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.