Provider Demographics
NPI:1649724527
Name:ROTWITT, REBEKKAH (LCSW)
Entity type:Individual
Prefix:
First Name:REBEKKAH
Middle Name:
Last Name:ROTWITT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 W VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5337
Mailing Address - Country:US
Mailing Address - Phone:610-492-7619
Mailing Address - Fax:
Practice Address - Street 1:7 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1378
Practice Address - Country:US
Practice Address - Phone:610-492-7619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0157521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical