Provider Demographics
NPI:1982493276
Name:SHIMIZU, REI (PHD, LMSW)
Entity type:Individual
Prefix:
First Name:REI
Middle Name:
Last Name:SHIMIZU
Suffix:
Gender:
Credentials:PHD, LMSW
Other - Prefix:
Other - First Name:REI
Other - Middle Name:
Other - Last Name:SHIMIZU CAMPBELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1705 WESTVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-2933
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1705 WESTVIEW CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-2933
Practice Address - Country:US
Practice Address - Phone:917-774-3420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker