Provider Demographics
NPI:1881349637
Name:REHBERG, KATHRYN GRACE (LSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:GRACE
Last Name:REHBERG
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NORTHPOINTE CIR STE 306
Mailing Address - Street 2:
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-7851
Mailing Address - Country:US
Mailing Address - Phone:724-772-4848
Mailing Address - Fax:724-772-4888
Practice Address - Street 1:1340 OLD FREEPORT RD FL 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-4101
Practice Address - Country:US
Practice Address - Phone:412-406-8080
Practice Address - Fax:412-406-8081
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138632104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker