MEDICARE: MS. MAUREEN J REBAR LCSW

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	CW015884	PA

General Provider Information

NPI Number	:	1932387602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAUREEN J REBAR LCSW

Provider Business Mailing Address
First Line	:	32 EMERALD DR
Second Line	:
City	:	THROOP
State	:	PA
Zip	:	18512-3350
Country	:	US
Telephone Number	:	570-383-1086
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 EMERALD DR
Second Line	:
City	:	THROOP
State	:	PA
Zip	:	18512-3350
Country	:	US
Telephone Number	:	570-383-1086
Fax Number	:

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

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	03/25/2026

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