MEDICARE: REBECCA ASTARITA KING LCSW, ADS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	171100000X	Acupuncturist	210	TN
3	1041C0700X	Clinical Social Worker	5450	TN

General Provider Information

NPI Number	:	1053861021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ASTARITA KING LCSW, ADS

Provider Business Mailing Address
First Line	:	4446 SPRING VALLEY RD
Second Line	:
City	:	ERIN
State	:	TN
Zip	:	37061-9503
Country	:	US
Telephone Number	:	615-426-7231
Fax Number	:

Provider Business Practice Location Address
First Line	:	4446 SPRING VALLEY RD
Second Line	:
City	:	ERIN
State	:	TN
Zip	:	37061-9503
Country	:	US
Telephone Number	:	615-426-7231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2016
Last Update Date	:	08/28/2025

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