Provider Demographics
NPI:1497703144
Name:AUBLE, REBECCA FORD (LCSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:FORD
Last Name:AUBLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ANN
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:6315 FORBES AVENUE
Mailing Address - Street 2:SUITE L112
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217
Mailing Address - Country:US
Mailing Address - Phone:412-421-5056
Mailing Address - Fax:
Practice Address - Street 1:6315 FORBES AVENUE
Practice Address - Street 2:SUITE L112
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217
Practice Address - Country:US
Practice Address - Phone:412-421-5056
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0124881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA110892OtherHIGHMARK BLUE CROSS
PA110892Medicare ID - Type Unspecified
546263Medicare UPIN