Provider Demographics
NPI:1083456529
Name:KLINGBEIL, REBECCA (APSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:KLINGBEIL
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:ZIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:475 CHIPPEWA MALL DR
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-5034
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2722 WELLINGTON DR W
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-0771
Practice Address - Country:US
Practice Address - Phone:715-828-9436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI129906-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker