Mary K Rehard, MSW, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2102912-SUPV Issued in OH

Practice address

433 Avon Way
Kettering, OH 45429-1433

Phone

(312) 447-9709

Fax

(888) 920-2046

NPI assigned

Nov 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Peponi Wellness Solutions LLC

  • Clinical Social Worker
  • Kettering, OH
  • NPI 1932907060
  Medicare reassignment NPD Authorized official
• Bridges Behavioral Health & Wellness

  • Community/Behavioral Health Agency
  • Centreville, MD
  • NPI 1205193737
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1114390267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454090236",
            "telephone_number": "312-447-9709",
            "fax_number": "888-920-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 AVON WAY",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291433",
            "telephone_number": "312-447-9709",
            "fax_number": "888-920-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHARD",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021670",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21304",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102912-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis M Reed, LPCC
• Todd William Reed, LPCC, ICDC
• Ashley Brianne Rees
• Regional Pathology Services Inc
• Charrie Regopoulos, RPH
• John M Reinsch, M.D.
• Morgan Paige Reis
• Olivia Mae Reittinger
• Cori Lynn Renacs, AGAC-NP
• Renal Life Link Inc

• Clinical Social Worker in Kettering, OH
• Providers in Kettering, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.