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NPI Code Detail

MEDICARE: ROSEMARIE REID MHS, MSS, LSW

MEDICARE: ROSEMARIE REID MHS, MSS, LSW
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 WorkerCW021358PA

General Provider Information

NPI Number : 1386153518
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARIE REID MHS, MSS, LSW
Provider Business Mailing Address
First Line : 191 PRESIDENTIAL BLVD STE W3
Second Line :
City : BALA CYNWYD
State : PA
Zip : 19004-1205
Country : US
Telephone Number : 215-268-6056
Fax Number : 215-754-1989
Provider Business Practice Location Address
First Line : 191 PRESIDENTIAL BLVD STE W3
Second Line :
City : BALA CYNWYD
State : PA
Zip : 19004-1205
Country : US
Telephone Number : 215-268-6056
Fax Number : 215-754-1989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2017
Last Update Date : 03/04/2023

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