Evann Lynne Reichenbach, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

23 Coulson Dr
Colora, MD 21917-1232

Phone

(443) 350-4667

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rising Wellness Counseling LLC

  • Clinical Social Worker
  • Rising Sun, MD
  • NPI 1619686649

  Clinical, MD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1164005658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 COULSON DR",
            "city": "COLORA",
            "state": "MD",
            "postal_code": "219171232",
            "telephone_number": "443-350-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COULSON DR",
            "city": "COLORA",
            "state": "MD",
            "postal_code": "219171232",
            "telephone_number": "443-350-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Main St Bldg A",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210145447",
            "country_code": "US",
            "telephone_number": "443-350-4667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHENBACH",
        "first_name": "EVANN",
        "middle_name": "LYNNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Cummings, LMSW
• Lauren Gabriel
• Harford Surgical Associates
• Heather Martin
• Performance Health Group LLC
• Rising Sun Family Care Center, Inc.
• Rising Sun Family Care Center, Inc. Dba Nazarene Adult Day Care
• Regina Saccenti
• Shifa RX LLC
• Javin Taylor, RN

• All providers in Colora, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.

Verify at the official NPI Registry.