Provider Demographics
NPI:1225764608
Name:FORESMAN, REBECCA RUTH ANNE (CBT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:RUTH ANNE
Last Name:FORESMAN
Suffix:
Gender:F
Credentials:CBT
Other - Prefix:
Other - First Name:BEX
Other - Middle Name:
Other - Last Name:FORESMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSWAIC
Mailing Address - Street 1:1141 N 91ST ST UNIT 404
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4165
Mailing Address - Country:US
Mailing Address - Phone:619-300-4158
Mailing Address - Fax:
Practice Address - Street 1:1141 N 91ST ST UNIT 404
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-4165
Practice Address - Country:US
Practice Address - Phone:619-300-4158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASWIA.SC.616861531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASWIA.SC.61686153OtherWADOH