Provider Demographics
NPI:1477070993
Name:WEST, REBEKAH JILL (MSW, LGSW)
Entity type:Individual
Prefix:MISS
First Name:REBEKAH
Middle Name:JILL
Last Name:WEST
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:JILL
Other - Last Name:MCVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LGSW
Mailing Address - Street 1:37990 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:WOODSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43793-9247
Mailing Address - Country:US
Mailing Address - Phone:740-472-0753
Mailing Address - Fax:740-472-0130
Practice Address - Street 1:37990 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:WOODSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43793-9247
Practice Address - Country:US
Practice Address - Phone:740-472-0753
Practice Address - Fax:740-472-0130
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-25
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP00945120104100000X
OHS.1802119104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1386795516Medicaid
OH0378542Medicaid