Doctor Name: | MS. CAROLYN G. REEVES |
NPI Number: | 1215095146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 075723-1 |
Business Practice Address: | 8 Landlords Lane Pine Bush, NY - 125661435 |
Business Phone Number: | 8457443634 |
Business Fax Number: | 8457443634 |
Mailing Address: | Po Box 1435, PINE BUSH |
State: | NY |
Postal Code: | 125661435 |
Phone Number: | 8457443634 |
Fax Number: | 8457443634 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 075723-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |