Provider Demographics
NPI:1598082950
Name:RENO, KATHY WINSTON (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:WINSTON
Last Name:RENO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 HUNTER LN APT 3
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2082
Mailing Address - Country:US
Mailing Address - Phone:914-471-1177
Mailing Address - Fax:
Practice Address - Street 1:13 HUNTER LN
Practice Address - Street 2:APT. 3
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-2082
Practice Address - Country:US
Practice Address - Phone:914-471-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO53791-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical