Individual provider Active NPI

Laura E Reis, MSW LICSW

  • Clinical Social Worker
  • Lowell, MA
National Provider Identifier
1124089727
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106985 Issued in MA
Practice address
77 East Merrimack Street
Suite 23
Lowell, MA 01852-1900
Phone
(978) 452-3711
Fax
(978) 441-9351
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 106985 MA Primary

Addresses

Primary practice location

77 East Merrimack Street
Suite 23
Lowell, MA 01852-1900

Mailing address

77 East Merrimack Street
Suite 23
Lowell, MA 01852-1900
Phone (978) 452-3711

Other identifiers 8

IdentifierTypeStateIssuer
1898167OtherMASS BEHAVIORAL HEALTH PA
1012240OtherMAFALLON
105813OtherMAMAGELLAN
726495OtherMATUFTS
1857924MedicaidMA
A001040OtherMAHARVARD PILGRIM MH SA
P04661OtherMABLUE CROSS MH SA
464110OtherAETNA USHC MH SA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051014000789 MA Practitioner - Clinical Social Worker 4981620317 Practice locations: Lowell, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77 E Merrimack St
Suite 23
Lowell, MA 01852-1900
Phone (978) 452-3711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106985MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124089727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 EAST MERRIMACK STREET",
            "address_2": "SUITE 23",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521900",
            "telephone_number": "978-452-3711",
            "fax_number": "978-441-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 EAST MERRIMACK STREET",
            "address_2": "SUITE 23",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521900",
            "telephone_number": "978-452-3711",
            "fax_number": "978-441-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "LAURA",
        "middle_name": "E",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BEHAVIORAL HEALTH PA",
            "identifier": "1898167",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "1012240",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "105813",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "726495",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857924",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM MH SA",
            "identifier": "A001040",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MH SA",
            "identifier": "P04661",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC MH SA",
            "identifier": "464110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.