Provider Demographics
NPI:1760524482
Name:REED, DANIELLE A (LCSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:A
Last Name:REED
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9784 W YEARLING RD
Mailing Address - Street 2:STE B-1580
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1379
Mailing Address - Country:US
Mailing Address - Phone:623-825-1777
Mailing Address - Fax:623-825-6757
Practice Address - Street 1:9784 W YEARLING RD
Practice Address - Street 2:STE B-1580
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1379
Practice Address - Country:US
Practice Address - Phone:623-825-1777
Practice Address - Fax:623-825-6757
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW121551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical