Healthcare Provider Details

I. General information

NPI: 1174714661
Provider Name (Legal Business Name): DANIEL REESER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3687 VETERANS DR
FORT HARRISON MT
59636-9700
US

IV. Provider business mailing address

3687 VETERANS DR
FORT HARRISON MT
59636-9700
US

V. Phone/Fax

Practice location:
  • Phone: 406-447-7794
  • Fax: 406-447-7794
Mailing address:
  • Phone: 406-447-7794
  • Fax: 406-841-8974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: