Provider Demographics
NPI:1164151262
Name:COTE, REBECCA ROSE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ROSE
Last Name:COTE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-2238
Mailing Address - Country:US
Mailing Address - Phone:203-427-3675
Mailing Address - Fax:
Practice Address - Street 1:110 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-2238
Practice Address - Country:US
Practice Address - Phone:203-285-8022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTMSW-TEMP104100000X
CT71771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker