Provider Demographics
NPI:1558478743
Name:REAMER, DENNITA RONILE (LCSW)
Entity type:Individual
Prefix:
First Name:DENNITA
Middle Name:RONILE
Last Name:REAMER
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7118 W SAHUARO DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-6078
Mailing Address - Country:US
Mailing Address - Phone:907-795-7508
Mailing Address - Fax:
Practice Address - Street 1:7118 W SAHUARO DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6078
Practice Address - Country:US
Practice Address - Phone:907-795-7508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC91411041C0700X
AZLCSW-228421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical