Provider Demographics
NPI:1508394727
Name:REED, ANNA D (LISW)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:D
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 1:5800 MONROE ST STE A9
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2208
Mailing Address - Country:US
Mailing Address - Phone:419-360-7582
Mailing Address - Fax:419-482-1262
Practice Address - Street 1:5800 MONROE ST STE A9
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2208
Practice Address - Country:US
Practice Address - Phone:419-360-7582
Practice Address - Fax:419-482-1262
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.20021791041C0700X
OH1700491104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000000OtherN/A