Provider Demographics
NPI:1023708534
Name:MOREY, REBECCA SARAH (LISW-CP, LICSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:SARAH
Last Name:MOREY
Suffix:
Gender:F
Credentials:LISW-CP, LICSW
Other - Prefix:
Other - First Name:BECCA
Other - Middle Name:
Other - Last Name:MOREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW-CP, LICSW
Mailing Address - Street 1:PO BOX 263
Mailing Address - Street 2:
Mailing Address - City:MONUMENT BEACH
Mailing Address - State:MA
Mailing Address - Zip Code:02553-0263
Mailing Address - Country:US
Mailing Address - Phone:732-267-4016
Mailing Address - Fax:
Practice Address - Street 1:701 GROVE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4210
Practice Address - Country:US
Practice Address - Phone:732-267-4016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC153511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical