Provider Demographics
NPI:1114684958
Name:ELIZABETH REED, MSW, LCSW, PLLC
Entity Type:Organization
Organization Name:ELIZABETH REED, MSW, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:740-238-0837
Mailing Address - Street 1:117 COWPEN NECK RD
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-9184
Mailing Address - Country:US
Mailing Address - Phone:740-238-0837
Mailing Address - Fax:
Practice Address - Street 1:117 COWPEN NECK RD
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-9184
Practice Address - Country:US
Practice Address - Phone:740-238-0837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-28
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1649562885OtherTYPE 1 NPI