MEDICARE: MR. DEXTER BENTLEY REED L.I.S.W

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	LI200105	DC

General Provider Information

NPI Number	:	1740303874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DEXTER BENTLEY REED L.I.S.W

Provider Business Mailing Address
First Line	:	8712 COLESVILLE RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3920
Country	:	US
Telephone Number	:	240-643-5379
Fax Number	:

Provider Business Practice Location Address
First Line	:	2811 PENNSYLVANIA AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3865
Country	:	US
Telephone Number	:	202-581-2455
Fax Number	:

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

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