Reija Huculak, LISW
Individual provider Active NPI Clinical Social Worker · Morrow, OH
NPI 1306237193 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1306237193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I.1700341 (OH)
- Practice address
- 6437 Morrow Rossburg Rd
Morrow, OH 45152-9544 - Phone
- (513) 221-0057
- NPI assigned
- Feb 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC.141221 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I.1700341 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1700341 | OH | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.141221 | OH |
Addresses
Primary practice location
6437 Morrow Rossburg Rd
Morrow, OH 45152-9544
Mailing address
6437 Morrow Rossburg Rd
Morrow, OH 45152-9544
Phone (513) 221-0057
Other providers in Morrow, OH
- William Chase Harwell
- Dawn Michelle Hassert
- Jenni Heitkamp
- Rick Hendrix
- Homestead Therapy Services LLC
- Christopher Hyer
- Anthony Iarussi
- Heather Imhoff
- James Property Solutions Inc.
- Jeff'S Family Pharmacy
All providers in Morrow, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.