Active NPI
Krystal Rheinwald, MSW LICSW
- Clinical Social Worker
- Waltham, MA
National Provider Identifier
1144303462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110557
- Practice address
- 169 Elm St
Waltham, MA 02453-5356 - Phone
- (781) 894-8440
- Fax
- (781) 894-1202
- NPI assigned
- Oct 23, 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 | 110557 | MA | Primary |
Addresses
Primary practice location
169 Elm St
Waltham, MA 02453-5356
Mailing address
169 Elm St
Waltham, MA 02453-5356
Phone (781) 894-8440
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303287 | Other | MA | MBHP |
| 99618201 | Other | NETWORK HEALTH | |
| M18633 | Other | MA | BCBS |
| 703136 | Other | TUFTS | |
| NP01332 | Other | BOSTON MED CTR | |
| P10329 | Other | MA | BCBS |
| 1004745 | Other | NHP | |
| 1303287 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Edinburg Center Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144303462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ELM ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535356",
"telephone_number": "781-894-8440",
"fax_number": "781-894-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ELM ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535356",
"telephone_number": "781-894-8440",
"fax_number": "781-894-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEINWALD",
"first_name": "KRYSTAL",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1303287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "99618201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18633",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "703136",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MED CTR",
"identifier": "NP01332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P10329",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1004745",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303287",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.