Basic Information
Provider Information
NPI: 1477803575
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REINHARDT
FirstName: JOANNE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 150 GLOVER AVE APT 447
Address2:  
City: NORWALK
State: CT
PostalCode: 068504505
CountryCode: US
TelephoneNumber: 2037226365
FaxNumber: 8009054566
Practice Location
Address1: 150 GLOVER AVE STE 10
Address2:  
City: NORWALK
State: CT
PostalCode: 068501395
CountryCode: US
TelephoneNumber: 2037434412
FaxNumber: 2037381188
Other Information
ProviderEnumerationDate: 09/16/2012
LastUpdateDate: 12/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/27/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X002429CTY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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