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NPI Code Detail

MEDICARE: MRS. TWYNESHA NICOLE REED LSCSW LCSW

MEDICARE: MRS. TWYNESHA NICOLE REED LSCSW 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
11041C0700XClinical Social Worker2007010289MO
21041C0700XClinical Social Worker3801KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2100098080COTHERKSSED WAIVER

General Provider Information

NPI Number : 1033314877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TWYNESHA NICOLE REED LSCSW LCSW
Provider Business Mailing Address
First Line : PO BOX 746874
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6874
Country : US
Telephone Number : 913-951-8731
Fax Number : 913-426-9057
Provider Business Practice Location Address
First Line : 700 NEBRASKA AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66101-2111
Country : US
Telephone Number : 913-951-8731
Fax Number : 913-426-9057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2007
Last Update Date : 11/25/2024

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