Provider Demographics
NPI:1942367347
Name:ALLGEIER, REBECCA (LISW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:ALLGEIER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9543 GREYSTONE PKWY
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2939
Mailing Address - Country:US
Mailing Address - Phone:440-655-8925
Mailing Address - Fax:
Practice Address - Street 1:9543 GREYSTONE PKWY
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2939
Practice Address - Country:US
Practice Address - Phone:440-655-8925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI4815104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker