Provider Demographics
NPI:1972475382
Name:HEWITT, RHIANNA ELAINE (LSW)
Entity type:Individual
Prefix:MS
First Name:RHIANNA
Middle Name:ELAINE
Last Name:HEWITT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 695
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:CO
Mailing Address - Zip Code:81631-0695
Mailing Address - Country:US
Mailing Address - Phone:719-487-5912
Mailing Address - Fax:
Practice Address - Street 1:264 FULFORD DR
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:CO
Practice Address - Zip Code:81631-5956
Practice Address - Country:US
Practice Address - Phone:970-306-7845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO.0009925930104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker