Abraham Joel Reichlin, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

L5774 Issued in OR

Practice address

355 High St SE
Suite 150
Salem, OR 97301-3613

Phone

(971) 301-2061

NPI assigned

Jul 23, 2010

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527

  Social Worker

  Medicare reassignment NPD
• The Trauma Academy Northwest, LLC

  • Clinical Social Worker
  • Salem, OR
  • NPI 1689100117
  Authorized official Same address or phone
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1306192455

  Social Worker

  NPD
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1023321619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 RYAN DR SE",
            "address_2": "SUITE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015201",
            "telephone_number": "971-301-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HIGH ST SE",
            "address_2": "SUITE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013613",
            "telephone_number": "971-301-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHLIN",
        "first_name": "ABRAHAM",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L5774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "355 HIGH ST SE",
            "address_2": "Suite 150",
            "city": "SALEM",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973013613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolina Regalado Murillo, MPH
• Joseph Regan, B.S
• Regency at Salem, LLC (Regency Woodland)
• Lochlan Uriel Rehbein-Verhoeven
• Wendy Noel Rehfeld, MOTR/L
• Kay M Reichlin, MD
• Scott Mitchell Reichlin, MD
• Amy C Reid
• Alaina Reilly
• Kevin Reilly

• Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.