Provider Demographics
NPI:1992593586
Name:RASNAKE, REBECCA GAYE (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:GAYE
Last Name:RASNAKE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 N BUFFALO ST # 2
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14141-1328
Mailing Address - Country:US
Mailing Address - Phone:276-202-8389
Mailing Address - Fax:276-202-8389
Practice Address - Street 1:93 N BUFFALO ST # 2
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141-1328
Practice Address - Country:US
Practice Address - Phone:276-202-8389
Practice Address - Fax:276-202-8389
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1000221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical