Provider Demographics
NPI:1053861021
Name:KING, REBECCA ASTARITA (LCSW, ADS)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ASTARITA
Last Name:KING
Suffix:
Gender:F
Credentials:LCSW, ADS
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:MARIE
Other - Last Name:ASTARITA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4446 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:ERIN
Mailing Address - State:TN
Mailing Address - Zip Code:37061-9503
Mailing Address - Country:US
Mailing Address - Phone:615-426-7231
Mailing Address - Fax:
Practice Address - Street 1:4446 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:ERIN
Practice Address - State:TN
Practice Address - Zip Code:37061-9503
Practice Address - Country:US
Practice Address - Phone:615-426-7231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
TN210171100000X
TN54501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171100000XOther Service ProvidersAcupuncturist