Healthcare Provider Details

I. General information

NPI: 1457772154
Provider Name (Legal Business Name): REBECCA ELIZABETH ZUMBA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA ELIZABETH KRAUSE

II. Dates (important events)

Enumeration Date: 12/23/2013
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 HARRISBURG PIKE STE 200C
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2150 HARRISBURG PIKE STE 200C
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3172
  • Fax: 717-544-3229
Mailing address:
  • Phone: 717-544-3172
  • Fax: 717-544-3229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05647100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW020892
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: