Provider Demographics
NPI:1790940443
Name:CILLEY, REBECCA MAHER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:MAHER
Last Name:CILLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1270
Mailing Address - Street 2:CITIZEN ADVOCATES
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983
Mailing Address - Country:US
Mailing Address - Phone:518-354-4156
Mailing Address - Fax:518-891-5851
Practice Address - Street 1:70 EDGEWOOD RD
Practice Address - Street 2:NORTH STAR BEHAVIORAL HEALTH
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983
Practice Address - Country:US
Practice Address - Phone:518-891-5535
Practice Address - Fax:518-891-5851
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0804591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical