Provider Demographics
NPI:1568677656
Name:REUTER, MEREDITH LIN (LICSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:LIN
Last Name:REUTER
Suffix:
Gender:F
Credentials:LICSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-4181
Mailing Address - Country:US
Mailing Address - Phone:603-400-8218
Mailing Address - Fax:
Practice Address - Street 1:441 MAIN ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-4181
Practice Address - Country:US
Practice Address - Phone:603-400-8218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.01320801041C0700X
NH23971041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty