Provider Demographics
NPI:1871807669
Name:REESE, AUBREY (LMSW)
Entity type:Individual
Prefix:MR
First Name:AUBREY
Middle Name:
Last Name:REESE
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 GARTH RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4052
Mailing Address - Country:US
Mailing Address - Phone:914-722-0319
Mailing Address - Fax:718-778-4018
Practice Address - Street 1:281 GARTH RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4052
Practice Address - Country:US
Practice Address - Phone:914-722-0319
Practice Address - Fax:718-778-4018
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055415-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical