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Adam Lloyd Reynolds, LMSW, CASAC

Social Worker, Clinical in Jackson Hts, NY. Individual provider (NPI-1).

NPI number1003255050
StatusActive
Last updated in NPPESJun 21, 2013

Details

NPI
1003255050
Entity type
Individual (NPI-1)
Name
Mr. Adam Lloyd Reynolds
Credential
LMSW, CASAC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 21, 2013
Last updated
Jun 21, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical082465NYYes
101YA0400X Counselor, Addiction (Substance Use Disorder)23622NY

Practice location

3727 86th St Apt 5r
Jackson Hts, NY 11372-7416

Phone 917-216-0614

Mailing address

3727 86th St Apt 5r
Jackson Hts, NY 11372-7416

Phone 917-216-0614

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Other Clinical Social Worker providers in Jackson Hts, NY

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