Provider Demographics
NPI:1467513879
Name:SCHIMMELFING, REED (MSW)
Entity Type:Individual
Prefix:
First Name:REED
Middle Name:
Last Name:SCHIMMELFING
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 MAIN STREET - SUITE 201
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3160
Mailing Address - Country:US
Mailing Address - Phone:413-586-7454
Mailing Address - Fax:
Practice Address - Street 1:104 MAIN STREET - SUITE 201
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3160
Practice Address - Country:US
Practice Address - Phone:413-586-7454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1047911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP02976OtherBCBS
MAP02976Medicare ID - Type Unspecified