Provider Demographics
NPI:1427370691
Name:MCCOY, REBECCA KAY (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:KAY
Last Name:MCCOY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:KAY
Other - Last Name:EDLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:2833 56TH LN N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-2557
Mailing Address - Country:US
Mailing Address - Phone:612-209-2021
Mailing Address - Fax:
Practice Address - Street 1:4700 N HABANA AVE STE 600
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7121
Practice Address - Country:US
Practice Address - Phone:612-209-2021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN183531041C0700X
FLSW163821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical