Provider Demographics
NPI:1184978801
Name:OEFFINGER, REBECCA WINN (LISW-CP/S)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:WINN
Last Name:OEFFINGER
Suffix:
Gender:F
Credentials:LISW-CP/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 STILLWELL DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6713
Mailing Address - Country:US
Mailing Address - Phone:843-992-1283
Mailing Address - Fax:
Practice Address - Street 1:1340 CELEBRATION BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-5585
Practice Address - Country:US
Practice Address - Phone:843-536-1180
Practice Address - Fax:843-536-1116
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC97571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical