Individual provider Active NPI

Christine Reno, LICSW

  • Clinical Social Worker
  • Mobile, AL
National Provider Identifier
1013100502
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1767C Issued in AL
Practice address
1110 Montlimar Dr Ste 500
Mobile, AL 36609-1794
Phone
(251) 662-9466
Fax
(251) 207-3351
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1767C AL Primary

Addresses

Primary practice location

1110 Montlimar Dr Ste 500
Mobile, AL 36609-1794

Mailing address

1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (941) 363-0878

Other practice location 1

7540 Cipriano Ct Ste B
Fairhope, AL 36532-3029
Phone (251) 517-3175

Other practice location 2

7540 Cipriano Ct Ste B
Fairhope, AL 36532-3029
Phone (251) 517-3175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080131000485 AL Practitioner - Clinical Social Worker 6608958434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Collective LLCGroup PAC ID 6800252628, 22 clinicians

Practice addresses (Care Compare)

960 Downtowner Blvd
Mobile, AL 36609-5406
Phone (251) 480-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1676CALMDClinical Social Worker
1767CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Collective LLC Clinical CurrentSince Jul 1, 2023 Accepting new patients
Alabama Psychiatric Services PC Past Accepting new patients

Locations

3929 Airport Blvd
Ste 2-204
Mobile, AL 36609
Phone (251) 421-2812

960 Downtowner Blvd
Mobile, AL 36609
Phone (251) 480-0070

Networks

  • MS PPO C-SNP
  • FL PPO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • TN PPO C-SNP
  • MS PPO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • AL HMO
  • AL HMO D-SNP
  • TN PPO
  • FL HMO D-SNP
  • MS PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82

Interoperability endpoints

  • Direct secure messaging: creno@twcl-al.direct.office.nextgen.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1013100502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342369116",
            "telephone_number": "941-363-0878",
            "fax_number": "716-242-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MONTLIMAR DR STE 500",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091794",
            "telephone_number": "251-662-9466",
            "fax_number": "251-207-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7540 Cipriano Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323029",
            "country_code": "US",
            "telephone_number": "251-517-3175",
            "fax_number": "251-207-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7540 Cipriano Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323029",
            "country_code": "US",
            "telephone_number": "251-517-3175",
            "fax_number": "251-207-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENO",
        "first_name": "CHRISTINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1767C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.