Provider Demographics
NPI:1013807064
Name:ADLER, REBECCA PEARL
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:PEARL
Last Name:ADLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RIVKA
Other - Middle Name:
Other - Last Name:ADLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:156 BEACH 9TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5600
Mailing Address - Country:US
Mailing Address - Phone:718-686-3149
Mailing Address - Fax:718-686-4149
Practice Address - Street 1:156 BEACH 9TH ST STE C
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5600
Practice Address - Country:US
Practice Address - Phone:718-686-3149
Practice Address - Fax:718-686-4149
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker