Provider Demographics
NPI:1023253986
Name:HARRINGTON, REBECCA (LICSW)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 MAIN ST
Mailing Address - Street 2:JUVENILE COURT CLINIC - PO BOX 7398
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4327
Mailing Address - Country:US
Mailing Address - Phone:508-897-4989
Mailing Address - Fax:508-897-4988
Practice Address - Street 1:215 MAIN ST
Practice Address - Street 2:JUVENILE COURT CLINIC
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4327
Practice Address - Country:US
Practice Address - Phone:508-897-4989
Practice Address - Fax:508-897-4988
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10320291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical