| Mary Alice Reed, Msw, Lcsw, Llc | |
|
1910 Saint Joe Center Rd Ste 42 Fort Wayne IN 46825 | |
| (260) 267-0497 | |
| (260) 960-9492 |
| Full Name | Mary Alice Reed, Msw, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1910 Saint Joe Center Rd Ste 42, Fort Wayne, Indiana |
| Authorized Official Name and Position | Mary Alice Reed (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2602670497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Alice Reed, Msw, Lcsw, Llc 1910 Saint Joe Center Rd Ste 42 Fort Wayne IN 46825-5000 Ph: (260) 267-0497 | Mary Alice Reed, Msw, Lcsw, Llc 1910 Saint Joe Center Rd Ste 42 Fort Wayne IN 46825 Ph: (260) 267-0497 |
| NPI Number | 1376098491 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/11/2018 |
| Medicare PECOS PAC ID | 7719265420 |
|---|---|
| Medicare Enrollment ID | O20161101001424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376098491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34001071 (Indiana) | Primary |
| Provider Name | Mary A Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881952893 PECOS PAC ID: 5395996334 Enrollment ID: I20121121000352 |
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