Provider Demographics
NPI:1326499948
Name:REED, KECIA (RSW)
Entity Type:Individual
Prefix:
First Name:KECIA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:KECIA
Other - Middle Name:PATRICE
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RSW
Mailing Address - Street 1:3604 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6111
Mailing Address - Country:US
Mailing Address - Phone:504-723-2986
Mailing Address - Fax:
Practice Address - Street 1:3320 CLARA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6620
Practice Address - Country:US
Practice Address - Phone:504-321-7011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4656101YM0800X
LA93221041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical