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General NPI Number Information
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NPI Number | 1811381148
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Entity Type | Individual
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Provider Name | JESSICA T REINHARDT LCSW, CASAC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 255 W 36TH ST
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City | NEW YORK
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State | NY
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Zip | 10018
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Country | US
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Telephone | 212-378-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 1729 BAY RIDGE PKWY
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City | BROOKLYN
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State | NY
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Zip | 11204-5672
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Country | US
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Telephone | 347-267-0637
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 31738
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 093311
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 087123
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License Number State | NY
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