REBECCA JYLL SIWANOWICZ LCSW
NPI 1780268672
Social Worker - Clinical in Concord, NC

Active since May 07, 2021PECOS EnrolledAccepts Medicare Assignment
284 EXECUTIVE PARK DR, CONCORD, NC 28025(704) 939-1100(704) 939-1173 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2023, May 7, 2021 (2 updates tracked since 2021).

About Rebecca Jyll Siwanowicz Lcsw NPPES

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

REBECCA JYLL SIWANOWICZ LCSW (NPI 1780268672) is an individual clinical provider in Concord, North Carolina, licensed in North Carolina (C016256) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sanford, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780268672
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBECCA JYLL SIWANOWICZCredential: LCSW
Location Address284 EXECUTIVE PARK DRConcord, NC 28025-1831
Mailing Address4525 Nc 87 SSanford, NC 27332-0212 · (954) 235-7013
Fax(704) 939-1173
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 7, 2021
Last NPPES UpdateFebruary 13, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
✔ NPI 1780268672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C016256✔ Licensed in FL · SW16961
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.
284 EXECUTIVE PARK DR, Concord, NC 28025

Secondary Practice Location 1

Location 14525 Nc 87 SSanford, NC 27332-0212 · Phone (910) 477-8244

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca Jyll Siwanowicz 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 ID1254789324
PECOS Enrollment IDI20231129003848
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rebecca Siwanowicz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
284 EXECUTIVE PARK DRIVE, SUITE 100
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 241 clinicians in this Medicare group
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, North Carolina enrollment
  • 68 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut, Florida, Illinois, North Carolina and South Carolina enrollments
  • 613 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Social Worker (Clinical)
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Counselor
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Counselor (Professional)
284 EXECUTIVE PARK DR
CONCORD, NC 28025
Social Worker (Clinical)
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Registered Nurse
284 EXECUTIVE PARK DR
CONCORD, NC 28025
Licensed Practical Nurse
284 EXECUTIVE PARK DR, STE 100
CONCORD, NC 28025
Counselor
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Counselor (Addiction (Substance Use Disorder))
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025

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 Siwanowicz's NPI number?

The NPI number for Rebecca Siwanowicz is 1780268672. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Rebecca Siwanowicz located?

Rebecca Siwanowicz practices at 284 Executive Park Dr, Concord, NC 28025. The listed phone number is (704) 939-1100.

What is Rebecca Siwanowicz's specialty?

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

Is Rebecca Siwanowicz enrolled in Medicare?

Yes. Rebecca Siwanowicz 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.

Which organizations bill Medicare for Rebecca Siwanowicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Siwanowicz reassigns Medicare benefits to 3 organizations: Daymark Recovery Services, Inc. (Concord, NC), Mccd Fl Psychiatry Services PA (Jacksonville, FL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Siwanowicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Siwanowicz accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Rebecca Siwanowicz 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 Siwanowicz was last updated on February 13, 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.