Provider Demographics
NPI:1225670540
Name:PASCARELLA, REBECCA SUTER (LCSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUTER
Last Name:PASCARELLA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:ELISE
Other - Last Name:SUTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:246 ROLLA MILL RD
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:VA
Mailing Address - Zip Code:24482-2537
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:246 ROLLA MILL RD
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:VA
Practice Address - Zip Code:24482-2537
Practice Address - Country:US
Practice Address - Phone:540-248-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040111471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical