Provider Demographics
NPI:1174874226
Name:KABER, REBECCA OZEROFF (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:OZEROFF
Last Name:KABER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:A
Other - Last Name:OZEROFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1308 DORCAS ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-1503
Mailing Address - Country:US
Mailing Address - Phone:619-997-4731
Mailing Address - Fax:
Practice Address - Street 1:1333 CAMINO DEL RIO S STE 105
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3520
Practice Address - Country:US
Practice Address - Phone:619-997-4731
Practice Address - Fax:619-584-4829
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA686641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical