MEDICARE: KAREN LYNN REED MSW, LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP1600X	Pastoral Counselor
4	104100000X	Social Worker
5	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1558797795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN LYNN REED MSW, LSW

Provider Business Mailing Address
First Line	:	6612 DONNA ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-1358
Country	:	US
Telephone Number	:	702-275-9320
Fax Number	:

Provider Business Practice Location Address
First Line	:	6612 DONNA ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-1358
Country	:	US
Telephone Number	:	702-275-9320
Fax Number	:

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

Provider Enumeration Date	:	09/19/2013
Last Update Date	:	09/19/2013

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