Kenneth Reddan is a Clinical in Brooklyn, New York. Kenneth Reddan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Reddan is 1063502425. The last update date is 2020-10-29.
Kenneth Reddan's current location address is 7304 5th Ave, Brooklyn, New York. You can contact this provider via phone number 7188714593 and fax number 7188714593. The mailing address for Kenneth Reddan is 7304 5th Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Reddan |
|---|---|
| Address | 7304 5th Ave, Brooklyn, New York |
| Phone Number | 7188714593 |
| Fax Number | 7188714593 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063502425 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2020-10-29 |
Provider Mailing Address Detail
| Address | 7304 5th Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112092604 |
| Phone Number | 7188714593 |
| Fax Number | 7188714593 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 071025-1 |
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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 Kenneth Reddan's unique identification number?
The Kenneth Reddan has been assigned the NPI (National Provider Identifier) Number 1063502425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kenneth Reddan's physical address?
The Kenneth Reddan is physically located at 7304 5Th Ave, in the city of Brooklyn, NY, with the postal code 112092604.
What is Kenneth Reddan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Reddan's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063502425 to Kenneth Reddan?
The Kenneth Reddan received its 1063502425 assignment from the Centers for Medicare & Medicaid Services on 2006-10-13.
As of what date were the details related to Kenneth Reddan most recently updated or revised?
The information pertaining to Kenneth Reddan, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-29.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX