Healthcare Provider Details

I. General information

NPI: 1699178863
Provider Name (Legal Business Name): REBECCA A ASHWORTH-RHEIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA A RHEIN

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 S 3RD ST STE 104
BELLEVILLE IL
62220-1952
US

IV. Provider business mailing address

180 S 3RD ST STE 104
BELLEVILLE IL
62220-1952
US

V. Phone/Fax

Practice location:
  • Phone: 618-222-4701
  • Fax: 618-222-4754
Mailing address:
  • Phone: 618-222-4701
  • Fax: 618-222-4754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149020026
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: