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

Individual provider Clinical Social Worker · NPI 1376282863

Rebecca Vickers, LLMSW is a Mental Health Counselor in Southfield, Michigan. Graduated from Wayne State University School of Medicine in 2022, 4 years ago. Licensed in Michigan.

Years since qualifying
4
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

17515 W 9 Mile Rd
Southfield, MI 48075-4403
Phone: (734) 559-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6851114816 (MI)

Record details

NPI number1376282863
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address17515 W 9 Mile Rd, Southfield, MI 48075-4403

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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