Individual provider Active NPI

Christina Susanne Reihm, LCSW

  • Clinical Social Worker
  • Eureka, CA
National Provider Identifier
1134310030
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW69447 Issued in CA
Practice address
1711 3Rd St
Eureka, CA 95501-0714
Phone
(707) 268-2800
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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 LCSW69447 CA Primary

Addresses

Primary practice location

1711 3Rd St
Eureka, CA 95501-0714

Mailing address

1711 3Rd St
Eureka, CA 95501-0714
Phone (707) 268-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240124002995 CA Practitioner - Clinical Social Worker 6709239957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Door Community Health CentersGroup PAC ID 9436067485, 113 clinicians

Practice addresses (Care Compare)

1644 Central Ave
McKinleyville, CA 95519-4342
Phone (707) 839-3068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW69447CAMDClinical Social Worker
69447CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers CurrentSince Nov 28, 2023 Accepting new patients
Open Door Community Health Centers CurrentSince Nov 28, 2023 Accepting new patients
Humboldt County Behavioral Health Past Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636

Organizations & group practices 3

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1134310030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 3RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010714",
            "telephone_number": "707-268-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 3RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010714",
            "telephone_number": "707-268-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIHM",
        "first_name": "CHRISTINA",
        "middle_name": "SUSANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW69447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.