Provider Demographics
NPI:1366627218
Name:REED, LUCY M (LISW)
Entity Type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:M
Last Name:REED
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1323
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-1323
Mailing Address - Country:US
Mailing Address - Phone:505-454-3900
Mailing Address - Fax:505-454-3900
Practice Address - Street 1:727 7TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4238
Practice Address - Country:US
Practice Address - Phone:505-454-3900
Practice Address - Fax:505-454-3900
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-01481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical