Provider Demographics
NPI:1770648339
Name:OSS, REBECCA JANE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:JANE
Last Name:OSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 S. EWING ST. #108
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601
Mailing Address - Country:US
Mailing Address - Phone:406-594-9926
Mailing Address - Fax:866-617-1708
Practice Address - Street 1:32 S. EWING ST. #108
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601
Practice Address - Country:US
Practice Address - Phone:406-594-9926
Practice Address - Fax:866-617-1708
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT826-LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000071548OtherBLUE CROSS-SHIELD OF MONTANA CENTER FOR MENTAL HEALTH
MT1770648339Medicaid
MT1770648339Medicaid