Provider Demographics
NPI:1942585989
Name:MCCARTY, REBEKAH IREAN (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:IREAN
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:
Other - Last Name:HEROLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:162 CREEK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9582
Mailing Address - Country:US
Mailing Address - Phone:740-672-4678
Mailing Address - Fax:
Practice Address - Street 1:4304 OLD SCIOTO TRL
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-6672
Practice Address - Country:US
Practice Address - Phone:740-351-9298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0600039104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08258Medicaid