Matthew Bradley Reese in Talbott - Clinical

Matthew Bradley Reese - NPI 1790783918

Matthew Bradley Reese is a Clinical in Talbott, Tennessee. Matthew Bradley Reese practices all healthcare services and medical treatments related to Clinical. The NPI Number for Matthew Bradley Reese is 1790783918. The last update date is 2017-11-30.

Matthew Bradley Reese's current location address is 6350 W Andrew Johnson Hwy Dept 100, Talbott, Tennessee. You can contact this provider via phone number 8003553565 and fax number 4237142355. The mailing address for Matthew Bradley Reese is 6350 W Andrew Johnson Hwy Dept 100, Talbott, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Bradley Reese
Address 6350 W Andrew Johnson Hwy Dept 100, Talbott, Tennessee
Phone Number 8003553565
Fax Number 4237142355
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1790783918
Provider Enumeration Date 2005-07-12
Last Updated Date 2017-11-30

Provider Mailing Address Detail

Address 6350 W Andrew Johnson Hwy Dept 100
City Talbott
State Tennessee (TN)
Post Code 378778605
Phone Number 8003553565
Fax Number 4237142355

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LSW923
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3924910 TN --

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FAQs about Matthew Bradley Reese

What is the unique provider identifier assigned to Matthew Bradley Reese?

The Matthew Bradley Reese has been issued the NPI (National Provider Identifier) 1790783918 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Matthew Bradley Reese's physical address?

The Matthew Bradley Reese is physically located at 6350 W Andrew Johnson Hwy Dept 100, in the city of Talbott, TN, with the postal code 378778605.

What is Matthew Bradley Reese's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Matthew Bradley Reese'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 assign the 1790783918 to Matthew Bradley Reese?

The Centers for Medicare & Medicaid Services assigned the 1790783918 to Matthew Bradley Reese on 2005-07-12.

As of what date were the Matthew Bradley Reese's details last updated?

The information pertaining to the Matthew Bradley Reese, including its address, specialty, and other details, was most recently updated on 2017-11-30.

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