Provider Demographics
NPI:1053747766
Name:REITMEIER, GEORGE JOHN (MSW)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:JOHN
Last Name:REITMEIER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2946 N 14TH ST
Mailing Address - Street 2:13
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5676
Mailing Address - Country:US
Mailing Address - Phone:602-299-6680
Mailing Address - Fax:
Practice Address - Street 1:2946 N 14TH ST
Practice Address - Street 2:13
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5676
Practice Address - Country:US
Practice Address - Phone:602-299-6680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS293751041C0700X
AZLCSW26631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical