Provider Demographics
NPI:1326549924
Name:REUTER, DANICA SAMUELS (LCSW)
Entity Type:Individual
Prefix:
First Name:DANICA
Middle Name:SAMUELS
Last Name:REUTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 HANFRED LN STE 101-142
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4810
Mailing Address - Country:US
Mailing Address - Phone:305-915-7697
Mailing Address - Fax:
Practice Address - Street 1:2208 HANFRED LN STE 101-142
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4810
Practice Address - Country:US
Practice Address - Phone:305-915-7697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0063631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical