Provider Demographics
NPI:1821706250
Name:FLICKINGER, REBECCA C (LSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:C
Last Name:FLICKINGER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:C
Other - Last Name:SHARRAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2325 OLD ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:ORRTANNA
Mailing Address - State:PA
Mailing Address - Zip Code:17353-9414
Mailing Address - Country:US
Mailing Address - Phone:717-398-6648
Mailing Address - Fax:
Practice Address - Street 1:825 EDEN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4713
Practice Address - Country:US
Practice Address - Phone:717-462-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker