Christopher M Reidy, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW000734 Issued in RI

Practice address

38 Bellevue Ave
Suite J
Newport, RI 02840-3496

Phone

(401) 848-2324

Fax

(401) 848-2324

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kathlyn Heckart LLC

  • Community/Behavioral Health Agency
  • Newport, RI
  • NPI 1003323221
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498867200000",
    "number": "1003985698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3003",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028400350",
            "telephone_number": "401-848-2324",
            "fax_number": "401-848-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BELLEVUE AVE",
            "address_2": "SUITE J",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403496",
            "telephone_number": "401-848-2324",
            "fax_number": "401-848-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW000734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athalia Faith Sadie Ralph
• Donna Marie Ramos, LMHC
• Clayton Rau, DDS
• Ready Set Latch Go
• Jaina Reid
• Kelley Forbes Reilly, MSW, LICSW
• Olivia Reilly
• Barbara Reiser, MD
• Resonance, LLC
• Restorative Nutrition, LLC

• Clinical Social Worker in Newport, RI
• Providers in Newport, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2017; 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.