MEDICARE: HELEN M O'REILLY LCSW, BCD

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	PR017050	NY

General Provider Information

NPI Number	:	1568685402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN M O'REILLY LCSW, BCD

Provider Business Mailing Address
First Line	:	106 HIGH ST
Second Line	:
City	:	HASTINGS ON HUDSON
State	:	NY
Zip	:	10706-3314
Country	:	US
Telephone Number	:	914-582-2241
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 W 81ST ST
Second Line	:	SUITE 1C
City	:	NEW YORK
State	:	NY
Zip	:	10024-6023
Country	:	US
Telephone Number	:	212-873-6734
Fax Number	:

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	07/16/2010

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