Provider Demographics
NPI:1104864123
Name:MCCARTNEY, REBECCA BREWER (LCSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:BREWER
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14702 DAWN VALE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2106
Mailing Address - Country:US
Mailing Address - Phone:713-635-9742
Mailing Address - Fax:
Practice Address - Street 1:14702 DAWN VALE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-2106
Practice Address - Country:US
Practice Address - Phone:713-635-9742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX507201041C0700X
TN4630104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical