Provider Demographics
NPI:1447891627
Name:CAHILL, REBECCA JUNE (LMSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JUNE
Last Name:CAHILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27521 URSULINE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1703
Mailing Address - Country:US
Mailing Address - Phone:330-714-1667
Mailing Address - Fax:
Practice Address - Street 1:27521 URSULINE ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1703
Practice Address - Country:US
Practice Address - Phone:330-714-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011053931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical