MEDICARE: REBEKAH PECCA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	P019182	NC
2	1041C0700X	Clinical Social Worker	C020093	NC

General Provider Information

NPI Number	:	1124709068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH PECCA LCSW

Provider Business Mailing Address
First Line	:	7423 CANTERWAY DR
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-5107
Country	:	US
Telephone Number	:	980-337-1139
Fax Number	:

Provider Business Practice Location Address
First Line	:	8832 BLAKENEY PROFESSIONAL DR STE 103
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-6717
Country	:	US
Telephone Number	:	980-280-5804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	05/21/2026

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