Individual provider Active NPI

Laura Grace Reiber, LICSW ACSW

  • Clinical Social Worker
  • Walla Walla, WA
National Provider Identifier
1023017365
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00007825 Issued in WA
Practice address
2330 Eastgate St Ste 207
Walla Walla, WA 99362-1559
Phone
(509) 876-4009
Fax
(509) 946-1430
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 LW00007825 WA Primary

Addresses

Primary practice location

2330 Eastgate St Ste 207
Walla Walla, WA 99362-1559

Mailing address

1124 Stevens Dr
Richland, WA 99354-3360
Phone (509) 876-4009

Other practice location 1

1124 Stevens Dr
Richland, WA 99354-3360
Phone (509) 876-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040927000102 WA Practitioner - Clinical Social Worker 6406825686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emmaus CenterGroup PAC ID 2961645064, 8 clinicians

Practice addresses (Care Compare)

1124 Stevens Dr
Richland, WA 99354-3360
Phone (509) 946-1430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Emmaus Center Clinical CurrentSince May 6, 2022 Accepting new patients
Anesthesiology Consultants of Walla Walla PC Past Accepting new patients

Locations

1124 Stevens Dr
Richland, WA 99354
Phone (509) 876-4009

2330 Eastgate St
Ste 105
Walla Walla, WA 99362
Phone (509) 876-4009

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1023017365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543360",
            "telephone_number": "509-876-4009",
            "fax_number": "509-946-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 EASTGATE ST STE 207",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621559",
            "telephone_number": "509-876-4009",
            "fax_number": "509-946-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 STEVENS DR",
            "address_purpose": "LOCATION",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543360",
            "country_code": "US",
            "telephone_number": "509-876-4009",
            "fax_number": "509-946-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIBER",
        "first_name": "LAURA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "LICSW ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.