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NPI Code Detail

MEDICARE: KIMBERLY REEVES LCSW

MEDICARE: KIMBERLY REEVES 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
11041C0700XClinical Social Worker1849CO
21041C0700XClinical Social Worker0904010978VA

General Provider Information

NPI Number : 1447445978
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY REEVES LCSW
Provider Business Mailing Address
First Line : 5649 S LABURNUM AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23231-4418
Country : US
Telephone Number : 804-789-1314
Fax Number : 804-482-3767
Provider Business Practice Location Address
First Line : 5649 S LABURNUM AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23231-4418
Country : US
Telephone Number : 804-789-1314
Fax Number : 804-482-3767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 05/21/2019

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Directions to “ KIMBERLY REEVES LCSW” Practice Location

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