Reese, Diane Elaine

Reese, Diane Elaine is an individual health care provider with primary practice located at 4705 Old Post Rd Unit A , Charlestown RI 02813-1842. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reese, Diane Elaine can be contacted via phone (401) 364-7705.

Contact Information

Primary practice address
4705 Old Post Rd Unit A Charlestown RI 02813-1842
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW03116 Rhode Island

Profile Details

NPI number 1609899855
LBN Legal business name Reese, Diane Elaine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609899855 NPPES
Connecticut MEDICAID 004235091

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