National Provider Identifier

Teresa Marie Reaves, LCSW

Teresa Marie Reaves, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 455-9611.

NPI 1649984287Rochester, NYClinical Social Worker

Profile Overview

NPI
1649984287
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 09, 2023
Last Updated
January 09, 2023

Practice Location

  • 61 Glenbrook RD
  • Rochester, NY 14616-2843

Phone: (585) 455-9611

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1649984287
Entity Type
Individual
Last Name
Reaves
First Name
Teresa
Middle Name
Marie
Credential
LCSW
Provider Other Last Name
Smith
Provider Other First Name
Teresa
Provider Other Middle Name
Marie
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
1
Mailing Street Address
61 Glenbrook RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-2843
Mailing Country
US
Mailing Phone
(585) 455-9611
Practice Street Address
61 Glenbrook RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-2843
Practice Country
US
Practice Phone
(585) 455-9611
Enumeration Date
January 09, 2023
Last Updated
January 09, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 09, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)