MEDICARE: LETICIA RENEE REED MSW, 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	28191	CA
2	1041C0700X	Clinical Social Worker	7488-C	NV

General Provider Information

NPI Number	:	1457478976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LETICIA RENEE REED MSW, LCSW

Provider Business Mailing Address
First Line	:	8440 LAS VEGAS BLVD S # B303
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1607
Country	:	US
Telephone Number	:	424-299-7109
Fax Number	:

Provider Business Practice Location Address
First Line	:	8440 LAS VEGAS BLVD S # B303
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1607
Country	:	US
Telephone Number	:	424-299-7109
Fax Number	:

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	04/11/2023

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