Active NPI
Laura E Reis, MSW LICSW
- Clinical Social Worker
- Lowell, MA
National Provider Identifier
1124089727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106985
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1898167 | Other | MASS BEHAVIORAL HEALTH PA | |
| 1012240 | Other | MA | FALLON |
| 105813 | Other | MA | MAGELLAN |
| 726495 | Other | MA | TUFTS |
| 1857924 | Medicaid | MA | |
| A001040 | Other | MA | HARVARD PILGRIM MH SA |
| P04661 | Other | MA | BLUE CROSS MH SA |
| 464110 | Other | AETNA 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 106985 | MA | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.