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NPI Code Detail

MEDICARE: ALYSSA REID LLMSW

MEDICARE: ALYSSA REID LLMSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1417745043
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA REID LLMSW
Provider Business Mailing Address
First Line : 15536 FAIRFIELD ST
Second Line :
City : LIVONIA
State : MI
Zip : 48154-3010
Country : US
Telephone Number : 734-293-6004
Fax Number :
Provider Business Practice Location Address
First Line : 813 E MICHIGAN AVE STE 201
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-5801
Country : US
Telephone Number : 734-288-8097
Fax Number : 734-800-3208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2025
Last Update Date : 05/14/2025

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Directions to “ ALYSSA REID LLMSW” Practice Location

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