MRS. REBECCA CONNIE PEDERSEN LICSW,SUDP,LCSW
NPI 1386022978
Social Worker - Clinical in American Fork, UT

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
802 E BAMBERGER DR STE A, AMERICAN FORK, UT 84003(801) 633-9887 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Apr 26, 2021, Jan 14, 2021 and 4 more (7 updates tracked since 2017).

About Mrs. Rebecca Connie Pedersen Licsw,sudp,lcsw NPPES

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

MRS. REBECCA CONNIE PEDERSEN LICSW,SUDP,LCSW (NPI 1386022978) is an individual clinical provider in American Fork, Utah, licensed in Utah (365936-3501) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1386022978
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. REBECCA CONNIE PEDERSENCredential: LICSW,SUDP,LCSW
Location Address802 E BAMBERGER DR STE AAmerican Fork, UT 84003-2179
Mailing Address802 E Bamberger Dr Ste AAmerican Fork, UT 84003-2179 · (801) 633-9887
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 14, 2015
Last NPPES UpdateOctober 2, 20247 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1386022978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in UT · 365936-3501 Licensed in WA · LW61089331
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60818488 (WA)
802 E BAMBERGER DR STE A, American Fork, UT 84003

Other Names 1

Former Name (1)Rebecca Connie Webb

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 Connie Pedersen Licsw,sudp,lcsw 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 ID5799195160
PECOS Enrollment IDI20260209000717
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 2

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

Clinic/Center (Adult Mental Health)
802 E BAMBERGER DR STE A
AMERICAN FORK, UT 84003
Social Worker (Clinical)
802 E BAMBERGER DR STE A
AMERICAN FORK, UT 84003

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 Pedersen's NPI number?

The NPI number for Rebecca Pedersen is 1386022978. It was assigned to this individual provider in the NPPES registry on May 14, 2015. The provider is also known as Rebecca Connie Webb.

Where is Rebecca Pedersen located?

Rebecca Pedersen practices at 802 E Bamberger Dr Ste A, American Fork, UT 84003. The listed phone number is (801) 633-9887.

What is Rebecca Pedersen's specialty?

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

Is Rebecca Pedersen enrolled in Medicare?

Yes. Rebecca Pedersen 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 Pedersen accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Rebecca Pedersen 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 Pedersen was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.