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NPI Code Detail

MEDICARE: FABIOLA REID LCSW

MEDICARE:   FABIOLA  REID  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
1101Y00000XCounselor093408NY
21041C0700XClinical Social Worker095017NY

General Provider Information

NPI Number : 1497159735
Entity Type Code : Individual
Provider Name (Legal Business Name) : FABIOLA REID LCSW
Provider Business Mailing Address
First Line : 61 LOCUST DR
Second Line :
City : MASTIC BEACH
State : NY
Zip : 11951-7107
Country : US
Telephone Number : 631-874-0185
Fax Number :
Provider Business Practice Location Address
First Line : 61 LOCUST DR
Second Line :
City : MASTIC BEACH
State : NY
Zip : 11951-7107
Country : US
Telephone Number : 631-494-5383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2014
Last Update Date : 04/02/2025

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Directions to “ FABIOLA REID LCSW” Practice Location

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