Provider Demographics
NPI:1477860286
Name:REED, DORIS JEAN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:DORIS
Middle Name:JEAN
Last Name:REED
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BEEKMAN AVE
Mailing Address - Street 2:BSMT
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1411
Mailing Address - Country:US
Mailing Address - Phone:917-622-7874
Mailing Address - Fax:
Practice Address - Street 1:27 BEEKMAN AVE
Practice Address - Street 2:BSMT
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1411
Practice Address - Country:US
Practice Address - Phone:917-622-7874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067654104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker