Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rebecca Jyll Siwanowicz, LCSW

Individual provider Clinical Social Worker · NPI 1780268672

Rebecca Jyll Siwanowicz, LCSW is a Clinical Social Worker in Concord, North Carolina. Qualified in 2016, 10 years ago. Practices with Mccd Fl Psychiatry Services PA, a 729-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and North Carolina.

Years since qualifying
10
Licensed in
FL, NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

284 Executive Park Dr
Concord, NC 28025-1831
Phone: (704) 939-1100
Fax: (704) 939-1173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4525 Nc 87 S, Sanford, NC 27332-0212 — (910) 477-8244

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C016256 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW16961 (FL)

Record details

NPI number1780268672
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice McCd Fl Psychiatry Services Pa — 729 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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