MEDICARE: MARY REINERS

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	ISW21823	FL

General Provider Information

NPI Number	:	1841162997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY REINERS

Provider Business Mailing Address
First Line	:	12955 SW 42ND ST STE 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-2928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12955 SW 42ND ST STE 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-2928
Country	:	US
Telephone Number	:	786-491-4947
Fax Number	:

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

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	09/19/2025

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Directions to “ MARY REINERS ” Practice Location

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