Provider Demographics
NPI:1780491480
Name:PARKINSON, REBECCA WEBB (CSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:WEBB
Last Name:PARKINSON
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:BECCA
Other - Middle Name:ANN
Other - Last Name:HUBRICH, WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW, MSW-INTERN
Mailing Address - Street 1:1576 S 500 W
Mailing Address - Street 2:
Mailing Address - City:WOODS CROSS
Mailing Address - State:UT
Mailing Address - Zip Code:84010-7433
Mailing Address - Country:US
Mailing Address - Phone:801-406-9002
Mailing Address - Fax:801-855-5660
Practice Address - Street 1:1576 S 500 W
Practice Address - Street 2:
Practice Address - City:WOODS CROSS
Practice Address - State:UT
Practice Address - Zip Code:84010-7433
Practice Address - Country:US
Practice Address - Phone:801-406-9002
Practice Address - Fax:801-855-5660
Is Sole Proprietor?:No
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13417250-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical