Brent Reynolds is a Clinical in Boulder City, Nevada. Brent Reynolds practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brent Reynolds is 1093763187. The last update date is 2010-12-16.
Brent Reynolds's current location address is 916 Nevada Hwy, Boulder City, Nevada. You can contact this provider via phone number 7022942866 and fax number 7022942866. The mailing address for Brent Reynolds is 916 Nevada Hwy, Boulder City, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Reynolds |
|---|---|
| Address | 916 Nevada Hwy, Boulder City, Nevada |
| Phone Number | 7022942866 |
| Fax Number | 7022942866 |
| Sole Proprietor | Y |
| Credentials | MSW,LCSW |
NPI Number Detail
| NPI Number | 1093763187 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2010-12-16 |
Provider Mailing Address Detail
| Address | 916 Nevada Hwy |
|---|---|
| City | Boulder City |
| State | Nevada (NV) |
| Post Code | 890052300 |
| Phone Number | 7022942866 |
| Fax Number | 7022942866 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2524-C |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Brent Reynolds by the Centers for Medicare & Medicaid Services?
The Brent Reynolds has been assigned the NPI (National Provider Identifier) 1093763187 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Brent Reynolds is geographically located?
The Brent Reynolds is physically situated at the following location: 916 Nevada Hwy, Boulder City, NV, 890052300.
What is Brent Reynolds's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brent Reynolds is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Brent Reynolds receive the assignment of its 1093763187 from the Centers for Medicare & Medicaid Services?
The Brent Reynolds was issued its 1093763187 by the Centers for Medicare & Medicaid Services on 2006-05-04.
As of what date was the information regarding Brent Reynolds, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brent Reynolds, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-12-16.
NPI Number: 1376546309
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