Shirley Reese | Memphis, TN • PECOS Search

Shirley Reese

Social Worker

Behavioral Health & Social Service Providers

1265 Union Ave, Memphis, TN 38104-3415

PECOS Enrollment

Based on the most recent information from CMS, provider Shirley Reese does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1366728388
Provider Type
Individual
Full Name
Reese, Shirley
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
10/24/2011
Last Updated
10/1/2014

Contact Information

Practice Location

1265 Union Ave, Memphis, TN 38104-3415

Unlisted Fax

Mailing Location

1265 Union Ave, Memphis, TN 38104-3415

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 5241 Tennessee