Active NPIIndividual providerSole proprietor

Mr. Kevin S Reddall

Social Worker, Clinical in Revere, Massachusetts

NPI Number1871752824
Practice location
265 Beach St, Revere, MA 02151-3131
Fax
—
Last updated
December 9, 2011

Kevin Stewart Reddall is a Social Worker, Clinical based in Revere, MA. Kevin Stewart Reddall practices in Revere, MA. The NPI Number for Kevin Stewart Reddall is 1871752824. The current practice location address for Kevin Stewart Reddall is 265 Beach St, Revere, MA 02151-3131 and can be reached out via phone at 860-303-9670.

Provider Profile Details

NPI Number
1871752824
Provider Name
Kevin Stewart Reddall
Provider Entity Type
Individual
Gender
Male
Address
265 Beach St, Revere, MA 02151-3131
Phone Number
860-303-9670
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 5, 2008
Last Update Date
December 9, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
265 Beach St
Revere, MA 02151-3131
City
Revere
Zip
02151-3131
Phone Number
860-303-9670
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
265 Beach St
Revere, MA 02151-3131
City
Revere
State
MA
Zip
02151-3131
Phone Number
860-303-9670

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kevin S Reddall?

The NPI number of Mr. Kevin S Reddall is 1871752824. It was assigned on June 5, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin S Reddall?

Mr. Kevin S Reddall is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Mr. Kevin S Reddall practice?

The practice location is 265 Beach St, Revere, MA 02151-3131. The office can be reached at 860-303-9670 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871752824 directly on the NPPES registry website.

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