Provider Demographics
NPI:1447403357
Name:TODDES-MILLER, REBECCA (MSS/LCSW (PENN)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:TODDES-MILLER
Suffix:
Gender:F
Credentials:MSS/LCSW (PENN
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:TODDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 DOWNING CIRCLE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335
Mailing Address - Country:US
Mailing Address - Phone:610-873-0495
Mailing Address - Fax:
Practice Address - Street 1:517 E LANCASTER AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2778
Practice Address - Country:US
Practice Address - Phone:610-594-1494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0133191041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT0174323Medicare UPIN