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NPI Code Detail

MEDICARE: LAURIE REINHOLD LCSW

MEDICARE: LAURIE REINHOLD 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
11041C0700XClinical Social Worker086400NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1086400OTHERNYNEW YORK STATE EDUCATIONAL DEPARTMENT OFFICE OF THE PROFESSIONS

General Provider Information

NPI Number : 1851632830
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE REINHOLD LCSW
Provider Business Mailing Address
First Line : 2300 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14610-2564
Country : US
Telephone Number : 585-514-5001
Fax Number :
Provider Business Practice Location Address
First Line : 2300 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14610-2564
Country : US
Telephone Number : 585-514-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2013
Last Update Date : 12/28/2022

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