Provider Demographics
NPI:1013697903
Name:BEAUMONT, REBECCA LOUIZE (NSW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LOUIZE
Last Name:BEAUMONT
Suffix:
Gender:F
Credentials:NSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 WESTON COMMUNITY CENTER
Mailing Address - Street 2:BERNREUTER HALL 104
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:16802
Mailing Address - Country:US
Mailing Address - Phone:435-201-7471
Mailing Address - Fax:
Practice Address - Street 1:46 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2717
Practice Address - Country:US
Practice Address - Phone:412-368-2322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW140385104100000X
UT12322278-3502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker