Provider Demographics
NPI:1073167375
Name:REESE, KATHRYN R (LSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:R
Last Name:REESE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 CIRCLE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45232-1808
Mailing Address - Country:US
Mailing Address - Phone:513-316-5761
Mailing Address - Fax:
Practice Address - Street 1:7162 READING RD STE 600
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3800
Practice Address - Country:US
Practice Address - Phone:513-241-7745
Practice Address - Fax:513-241-4333
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1501142104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker