Provider Demographics
NPI:1659966174
Name:SCHMIEMAN, REBECCA N (LICSWA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:N
Last Name:SCHMIEMAN
Suffix:
Gender:F
Credentials:LICSWA
Other - Prefix:
Other - First Name:ROWAN
Other - Middle Name:N
Other - Last Name:SCHMIEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSWA
Mailing Address - Street 1:1458 FOWLER ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4717
Mailing Address - Country:US
Mailing Address - Phone:509-374-5391
Mailing Address - Fax:509-542-8836
Practice Address - Street 1:1458 FOWLER ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4717
Practice Address - Country:US
Practice Address - Phone:509-374-5391
Practice Address - Fax:509-542-8836
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC61128184104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker