Provider Demographics
NPI:1831959501
Name:COVERSTON, REBEKAH K (MSW, MSFP)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:K
Last Name:COVERSTON
Suffix:
Gender:F
Credentials:MSW, MSFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24800 SE 262ND ST
Mailing Address - Street 2:
Mailing Address - City:RAVENSDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98051-9524
Mailing Address - Country:US
Mailing Address - Phone:425-301-8792
Mailing Address - Fax:
Practice Address - Street 1:2820 NORTHUP WAY
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-1419
Practice Address - Country:US
Practice Address - Phone:206-316-2375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASA61467100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker