Individual
REBECCA WORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
526 M SHOUP AVE WEST, TWIN FALLS, ID 83301
(208) 734-0446
(208) 734-1502
Mailing address
526 M SHOUP AVE WEST, TWIN FALLS, ID 83301
(208) 734-0446
(208) 734-1502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSWP590C
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015816
REGENCE BLUE SHIELD OF ID
ID
01
—
X2496
BLUE CROSS OF IDAHO
ID
Enumeration date
02/22/2007
Last updated
07/08/2007
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