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NPI Code Detail

MEDICARE: SUSAN R REED MSSW, LCSW

MEDICARE: SUSAN R REED MSSW, 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 Worker26839TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TXB153033OTHERTXMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
226839OTHERTXLCSW

General Provider Information

NPI Number : 1992791768
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN R REED MSSW, LCSW
Provider Business Mailing Address
First Line : 3939 W GREEN OAKS BLVD STE 206
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-2793
Country : US
Telephone Number : 817-933-4878
Fax Number :
Provider Business Practice Location Address
First Line : 3939 W GREEN OAKS BLVD STE 206
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-2793
Country : US
Telephone Number : 817-933-4878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 07/31/2019

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Directions to “ SUSAN R REED MSSW, LCSW” Practice Location

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