Provider Demographics
NPI:1760206494
Name:REEVES, CHELZIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CHELZIE
Middle Name:
Last Name:REEVES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 REED CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BASSETT
Mailing Address - State:VA
Mailing Address - Zip Code:24055-5800
Mailing Address - Country:US
Mailing Address - Phone:276-252-9921
Mailing Address - Fax:
Practice Address - Street 1:1206 REED CREEK DR
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:VA
Practice Address - Zip Code:24055-5800
Practice Address - Country:US
Practice Address - Phone:276-252-9921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040135981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical