MEDICARE: ANGELA REED AS, BS, MSW

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	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629966890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA REED AS, BS, MSW

Provider Business Mailing Address
First Line	:	415 FEDERAL STREET
Second Line	:
City	:	BLUEFIELD
State	:	WV
Zip	:	24701-3065
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 HARRY ST
Second Line	:
City	:	BLUEFIELD
State	:	WV
Zip	:	24701-2035
Country	:	US
Telephone Number	:	304-922-4006
Fax Number	:

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

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	06/30/2025

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