Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
REBECCA M. GENTLE
Active
Individual
REBECCA M. GENTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000645561
ANTHEM
IN
05
—
100240880
—
IN
01
—
12060881
CAQH
IN
Enumeration date
05/09/2008
Last updated
06/19/2014
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