Peter Reich, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009802 Issued in NC

Practice address

907 Englewood St
Greensboro, NC 27403

Phone

(919) 280-8990

NPI assigned

Dec 23, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1003237785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 ENGLEWOOD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274032148",
            "telephone_number": "919-280-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 ENGLEWOOD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27403",
            "telephone_number": "919-280-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 S Mangum St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277013904",
            "country_code": "US",
            "telephone_number": "919-683-1790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICH",
        "first_name": "PETER",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-23",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3528-A",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3528",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008345",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003237785",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott R Rehm, DDS
• Rehobeth Family Counseling Services
• Rehobot Homecare Services
• Rehoboth Homecare Services LLC
• Aviry Lynn Reich, MS, NCC, LPCA
• Reid M. Clark, DDS
• Allee Grayson Reid
• Felicia Daye Reid, RN
• Joyce Clark Reid, LPC
• Karysha Reid

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.