Brenda Marie Reavis, LCSW is a
Counselor - Mental Health based in Evanston, Illinois. Brenda Marie Reavis is licensed to practice in Illinois (license number 149.021279) and her current practice location is
825 Chicago Ave Fl 2a, Evanston, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 725-4088.
NPI number for Brenda Marie Reavis is 1295397669 and her current mailing address is 730 S Clark St Apt 1403, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295397669.
Healthcare Provider's Profile
Full Name | Brenda Marie Reavis |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 825 Chicago Ave Fl 2a, Evanston, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295397669
- Provider Enumeration Date: 07/05/2019
- Last Update Date: 12/09/2024
Medical Identifiers
Medical identifiers for Brenda Marie Reavis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295397669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.021279 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 149.021279 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Marie Reavis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brenda Marie Reavis, LCSW 730 S Clark St Apt 1403, Chicago, IL 60605-1750 Ph: (312) 725-4088 | Brenda Marie Reavis, LCSW 825 Chicago Ave Fl 2a, Evanston, IL 60202-2375 Ph: (312) 725-4088 |
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