Carrie Beth Reese, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15714 Issued in FL

Practice address

1016 W Aiken St
St Augustine, FL 32084-9515

Phone

(904) 540-3604

Fax

(904) 547-2215

NPI assigned

Dec 11, 2018

Last updated

Dec 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Beth Veddern Former name

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": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1568933844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W AIKEN ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320849515",
            "telephone_number": "904-540-3604",
            "fax_number": "904-547-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W AIKEN ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320849515",
            "telephone_number": "904-540-3604",
            "fax_number": "904-547-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "CARRIE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "VEDDERN",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reasonover Counseling and Consulting
• Lori T Reasonover, LCSW
• Rebound Rehabilitative Services Inc
• Reda Alami MD PA
• Joanne Ford Reed, OD
• Reforged in Faith LLC (Reforged Christian Counseling)
• William Regan
• Hanaa Reiad
• Brittany Rene Lynn Reichert
• Jennifer Reid

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, 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 Dec 11, 2018; 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.