Kelly Reno, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015209 Issued in PA

Practice address

115 South Centre Street Lower Level
Pottsville, PA 17901-2706

Phone

(570) 622-1025

Fax

(570) 628-4344

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

No

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 PA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological Associates of Schuylkill County, LLCGroup PAC ID 0547362923, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Psychological Associates of Schuylkill County, LLC

  • Psychologist
  • Pottsville, PA
  • NPI 1578534442
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1164563698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SOUTH CENTRE STREET LOWER LEVEL",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012706",
            "telephone_number": "570-622-1025",
            "fax_number": "570-628-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SOUTH CENTRE STREET LOWER LEVEL",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012706",
            "telephone_number": "570-622-1025",
            "fax_number": "570-628-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENO",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery Edge Peer Support and Recovery Services, Inc.
• Redco Group, LLC
• Redco Group, LLC
• Redco Group, LLC
• John L Rehnert, LCSW
• Resources for Human Development, Inc.
• Revive Chiropractic, LLC
• Brittany Rhen
• Ami Lynn Riegel, LCSW
• Ross William Rismiller, M.D.

• Clinical Social Worker in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.