MEDICARE: MS. CYNTHIA J REUM LICSW

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	1027000-1	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	025354	OTHER	MA	VALUE OPTIONS
2	043573629-01	OTHER	MA	PACIFICARE BEH. HEALTH
3	1029360	OTHER	MA	BEACON HEALTH STRATEGIES
4	350402000	OTHER	MA	MAGELLAN BEH. HEALTH
5	P08121	OTHER	MA	BCBSMA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	768350	OTHER	MA	TUFTS

General Provider Information

NPI Number	:	1649383803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA J REUM LICSW

Provider Business Mailing Address
First Line	:	450 W RIVER ST
Second Line	:	SUITE 4B
City	:	ORANGE
State	:	MA
Zip	:	01364-1435
Country	:	US
Telephone Number	:	978-544-1556
Fax Number	:	978-544-1512

Provider Business Practice Location Address
First Line	:	450 W RIVER ST
Second Line	:	SUITE 4B
City	:	ORANGE
State	:	MA
Zip	:	01364-1435
Country	:	US
Telephone Number	:	978-544-1556
Fax Number	:	978-544-1512

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/08/2007

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