Provider Demographics
NPI:1508994344
Name:SINGER, REBECCA HOPE (LCSW, CAP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:HOPE
Last Name:SINGER
Suffix:
Gender:F
Credentials:LCSW, CAP
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:HOPE
Other - Last Name:SINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1155 LOUISIANA AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2351
Mailing Address - Country:US
Mailing Address - Phone:407-647-2423
Mailing Address - Fax:407-647-3033
Practice Address - Street 1:1155 LOUISIANA AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2351
Practice Address - Country:US
Practice Address - Phone:407-647-2423
Practice Address - Fax:407-647-3033
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP 1853101YA0400X
FL00028531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL282095OtherVALUE OPTIONS PROVIDER #
FL11558272OtherCAQH #
FL99612OtherCIGNA PROVIDER #