Provider Demographics
NPI:1043920085
Name:REYMANN, REBECCA (LSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:REYMANN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 N PENNSYLVANIA ST APT 21
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4714
Mailing Address - Country:US
Mailing Address - Phone:443-472-3382
Mailing Address - Fax:
Practice Address - Street 1:1421 N PENNSYLVANIA ST APT 21
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4714
Practice Address - Country:US
Practice Address - Phone:443-472-3382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009923807104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker