Provider Demographics
NPI:1780349811
Name:REICHMAN, DANA EMILY (LCSW)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:EMILY
Last Name:REICHMAN
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 1:2209 HANCOCK DR APT 12
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-2549
Mailing Address - Country:US
Mailing Address - Phone:512-546-7757
Mailing Address - Fax:
Practice Address - Street 1:2209 HANCOCK DR APT 12
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-2549
Practice Address - Country:US
Practice Address - Phone:512-546-7757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68472104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker