Provider Demographics
NPI:1548925514
Name:CRAGHILL, REBECCA SUSAN (LSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUSAN
Last Name:CRAGHILL
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:PO BOX 342
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:NV
Mailing Address - Zip Code:89429-0342
Mailing Address - Country:US
Mailing Address - Phone:775-344-8293
Mailing Address - Fax:775-799-3337
Practice Address - Street 1:611 E TELEGRAPH ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4217
Practice Address - Country:US
Practice Address - Phone:775-298-1870
Practice Address - Fax:775-799-3337
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11231-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical