Provider Demographics
NPI:1871258236
Name:REID, BRITT (LMSW)
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:
Last Name:REID
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LINDA
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1075 BERGEN ST APT 7
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-3379
Mailing Address - Country:US
Mailing Address - Phone:704-942-4000
Mailing Address - Fax:
Practice Address - Street 1:1075 BERGEN ST APT 7
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-3379
Practice Address - Country:US
Practice Address - Phone:704-942-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109127104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY109127OtherNYS OFFICE OF THE PROFESSIONS