Healthcare Provider Details

I. General information

NPI: 1457772154
Provider Name (Legal Business Name): REBECCA ELIZABETH ZUMBA LCSW, LISW
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: 10/23/2026
Certification Date: 10/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E MAIN ST
LITITZ PA
17543-2140
US

IV. Provider business mailing address

510 E MAIN ST
LITITZ PA
17543-2140
US

V. Phone/Fax

Practice location:
  • Phone: 717-405-0343
  • Fax: 223-271-3203
Mailing address:
  • Phone: 717-405-0343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2608631
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05647100
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW020892
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: