MEDICARE: LEIGH ANN REEDY LISW-CP

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	14488	SC

General Provider Information

NPI Number	:	1982188843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGH ANN REEDY LISW-CP

Provider Business Mailing Address
First Line	:	3156 LEAPHART RD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-3024
Country	:	US
Telephone Number	:	803-791-0495
Fax Number	:	803-791-1958

Provider Business Practice Location Address
First Line	:	3156 LEAPHART RD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-3024
Country	:	US
Telephone Number	:	803-791-0495
Fax Number	:	803-791-1958

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

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	09/15/2021

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Directions to “ LEIGH ANN REEDY LISW-CP” Practice Location

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