Doctor Name: | MRS. NATASHIA WYAKITA REID |
NPI Number: | 1023243011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 12846 |
Business Practice Address: | 2940 Merchant Ct Waldorf, MD - 206035302 |
Business Phone Number: | 2404637437 |
Business Fax Number: | 3017058892 |
Mailing Address: | 2940 Merchant Ct, WALDORF |
State: | MD |
Postal Code: | 206035302 |
Phone Number: | 2404637437 |
Fax Number: | 3017058892 |
NPI Enumeration Date: | 05/20/2009 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 12846 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |