REBECCA RICKERT (LCSW) – Clinical Social Worker, NPI 1710417357

REBECCA RICKERT (LCSW) is a healthcare provider. based in East hartford, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 9814 (CT). The NPI Number for REBECCA RICKERT (LCSW) is 1710417357

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA RICKERT (LCSW)
NPI
1710417357
Phone
(860) 569-5900
Address
111 FOUNDERS PLZ STE 1802
Enumeration Date
15 June 2017
Last Update Date
15 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604022825
Graduation Year
2012 (14 years ago)
PAC ID
7618240938
Group Practice PAC ID
3375933658
Professional Enrollment ID
I20170908001412
Address ID
CT060423581MA200XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for REBECCA RICKERT (LCSW)

  • 111 FOUNDERS PLZ STE 1802

    EAST HARTFORD, CT 061088301

    Phone: (860) 569-5900

    Fax: (860) 310-2127

    Type: Mailing

  • 281, Main Street, South Glastonbury Historic District, Taylor Town, South Glastonbury, Glastonbury, Hartford County, Connecticut, 06073, United States

    EAST HARTFORD, CT 061181823

    Phone: (860) 569-5900

    Fax: (860) 310-2127

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170908001412IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375933658View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Mental Health CounselorCT
Clinical Social WorkerCT
Mental Health CounselorCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT

Reviews

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Frequently asked questions

Can I use this page to confirm REBECCA RICKERT (LCSW)'s NPI?
Yes. REBECCA RICKERT (LCSW) is listed with NPI 1710417357 in the public NPI dataset.
Does the file indicate REBECCA RICKERT (LCSW) is practicing under active NPI?
Directory data currently reports REBECCA RICKERT (LCSW) as active.
What is REBECCA RICKERT (LCSW)'s specialty?
The listing groups REBECCA RICKERT (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for REBECCA RICKERT (LCSW)?
REBECCA RICKERT (LCSW)'s geographic hint is East Hartford, Connecticut in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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