Provider Demographics
NPI:1063212421
Name:REEVES, CATLIN LINDSEY (LMSW)
Entity type:Individual
Prefix:
First Name:CATLIN
Middle Name:LINDSEY
Last Name:REEVES
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9410 N 31ST AVE APT 1066
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-2647
Mailing Address - Country:US
Mailing Address - Phone:850-686-3339
Mailing Address - Fax:
Practice Address - Street 1:12406 N 32ND ST STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7146
Practice Address - Country:US
Practice Address - Phone:623-499-3218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-22030104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker