MEDICARE: REUBEN JASON BRODY 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
1	1041C0700X	Clinical Social Worker	C018953	NC

General Provider Information

NPI Number	:	1437926714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REUBEN JASON BRODY LCSW

Provider Business Mailing Address
First Line	:	2057 RICEVILLE RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28805-8708
Country	:	US
Telephone Number	:	828-367-9192
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 RAVENSCROFT DR STE 302
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-3673
Country	:	US
Telephone Number	:	828-367-9192
Fax Number	:	828-575-5319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2023
Last Update Date	:	02/11/2026

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