Individual provider Active NPI

Krissy M Reams, LCSW

  • Clinical Social Worker
  • Concord, NC
National Provider Identifier
1144712415
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014275 Issued in NC
Practice address
325 McGill Ave NW Ste 521
Concord, NC 28027-6239
Phone
(980) 277-2774
NPI assigned
Jun 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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 C014275 NC Primary

Addresses

Primary practice location

325 McGill Ave NW Ste 521
Concord, NC 28027-6239

Mailing address

10152 Harvest Gold Dr
Charlotte, NC 28215-2891
Phone (704) 649-7190

Other practice location 1

1424 Winding Stream Rd
Charlotte, NC 28206-7700
Phone (704) 649-7190

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL krissy@krissymreamscounseling.com Direct

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

State licenses

LicenseStateTypeSpecialty
C014275NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1144712415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10152 HARVEST GOLD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152891",
            "telephone_number": "704-649-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MCGILL AVE NW STE 521",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276239",
            "telephone_number": "980-277-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1424 Winding Stream Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282067700",
            "country_code": "US",
            "telephone_number": "704-649-7190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAMS",
        "first_name": "KRISSY",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "krissy@krissymreamscounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 McGill Ave NW Ste 521",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280276239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.