Provider Demographics
NPI:1679624548
Name:REID, NAOMI HISLOP (LCSW)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:HISLOP
Last Name:REID
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 1:1569 S EVANSTON ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5714
Mailing Address - Country:US
Mailing Address - Phone:303-750-3034
Mailing Address - Fax:
Practice Address - Street 1:9200 W CROSS DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2239
Practice Address - Country:US
Practice Address - Phone:303-432-5620
Practice Address - Fax:303-432-5640
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.009850831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical