Healthcare Provider Details

I. General information

NPI: 1164351847
Provider Name (Legal Business Name): REBECCA IRENE HASELBERGER MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8815 AVERY RD
DUBLIN OH
43017-9511
US

IV. Provider business mailing address

1657 ROYAL OAK DR
LEWIS CENTER OH
43035-6090
US

V. Phone/Fax

Practice location:
  • Phone: 614-764-5932
  • Fax:
Mailing address:
  • Phone: 614-764-5932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS.2512563
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: