Provider Demographics
NPI:1699178863
Name:ASHWORTH-RHEIN, REBECCA A (LCSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:ASHWORTH-RHEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:A
Other - Last Name:RHEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2900 FRANK SCOTT PKWY W STE 950
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-5010
Mailing Address - Country:US
Mailing Address - Phone:618-233-3205
Mailing Address - Fax:618-233-1407
Practice Address - Street 1:2900 FRANK SCOTT PKWY W STE 950
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62223-5010
Practice Address - Country:US
Practice Address - Phone:618-233-3205
Practice Address - Fax:618-233-1407
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490200261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical