Provider Demographics
NPI:1336954429
Name:DANIELS, REBECCA ASHLEY (MSW/LSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ASHLEY
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MSW/LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 HAYMONT DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9760
Mailing Address - Country:US
Mailing Address - Phone:304-634-3199
Mailing Address - Fax:
Practice Address - Street 1:5424 WILLIAM FLYNN HWY
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9652
Practice Address - Country:US
Practice Address - Phone:412-385-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA142473104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker