Provider Demographics
NPI:1124090733
Name:UPPERCUE, REBECCA WOLFE (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:WOLFE
Last Name:UPPERCUE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CARLISLE ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-1823
Mailing Address - Country:US
Mailing Address - Phone:717-420-5395
Mailing Address - Fax:717-724-5432
Practice Address - Street 1:18 CARLISLE ST
Practice Address - Street 2:SUITE 108
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1823
Practice Address - Country:US
Practice Address - Phone:717-420-5395
Practice Address - Fax:717-724-5432
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0182951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical