Provider Demographics
NPI:1548912561
Name:WHITE, REBECCA DENISE (SWLC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:DENISE
Last Name:WHITE
Suffix:
Gender:F
Credentials:SWLC
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:DENISE
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2708 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-3135
Mailing Address - Country:US
Mailing Address - Phone:865-585-0838
Mailing Address - Fax:
Practice Address - Street 1:2708 4TH AVE S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-3135
Practice Address - Country:US
Practice Address - Phone:865-585-0838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical