Provider Demographics
NPI:1710286760
Name:ZETTS, REBECCA E (LISW-S)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:E
Last Name:ZETTS
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:E
Other - Last Name:CREW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-S
Mailing Address - Street 1:2304 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134
Mailing Address - Country:US
Mailing Address - Phone:440-823-3937
Mailing Address - Fax:
Practice Address - Street 1:10427 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-1645
Practice Address - Country:US
Practice Address - Phone:216-409-6316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1200810-SUPV1041C0700X
OHS08007201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0398608Medicaid