Healthcare Provider Details

I. General information

NPI: 1902448657
Provider Name (Legal Business Name): REBECCA SUE HOWARD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 CENTRAL AVE
ASHLAND KY
41101-7423
US

IV. Provider business mailing address

1415 6TH AVE
HUNTINGTON WV
25701-2420
US

V. Phone/Fax

Practice location:
  • Phone: 606-547-4400
  • Fax: 606-547-4180
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberDP00946393
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number256144
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: