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NPI Code Detail

MEDICARE: KIRA MARIE REED LCSW 111380

MEDICARE: KIRA MARIE REED LCSW 111380
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 Worker111380CA

General Provider Information

NPI Number : 1205311123
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRA MARIE REED LCSW 111380
Provider Business Mailing Address
First Line : 5705 COLUMBUS AVE
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91411-3221
Country : US
Telephone Number : 661-243-0575
Fax Number :
Provider Business Practice Location Address
First Line : 21380 CENTRE POINTE PKWY
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-3050
Country : US
Telephone Number : 661-243-0575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2018
Last Update Date : 12/05/2022

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Directions to “ KIRA MARIE REED LCSW 111380” Practice Location

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