Maricela M Reecy I, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW3504 Issued in FL

Practice address

3425 Lake Alfred Rd
Winter Haven, FL 33881-1492

Phone

(863) 293-1121

Fax

(863) 292-4097

NPI assigned

Jul 30, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1396935995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811492",
            "telephone_number": "863-293-1121",
            "fax_number": "863-292-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811492",
            "telephone_number": "863-293-1121",
            "fax_number": "863-292-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECY",
        "first_name": "MARICELA",
        "middle_name": "M",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Walter Reddout, PH.D.
• Reddy Medical Care LLC
• Ashok G Reddy, M.D
• Sriya Vanga Reddy, DO
• Sarah Ann Reece
• Deloris Reed, ARNP
• Ralph W Reed, DPM
• Clayton Dale Reedy, N.P.-C
• Heike Reeves
• Nandy Reeves, M.A.

• Clinical Social Worker in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.