Active NPI
Kelly Ann Reinhart, LCSW
- Clinical Social Worker
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108562
- Practice address
- 11200 Sean Haggerty Dr Apt 3203
El Paso, TX 79934-3393 - Phone
- (505) 316-1732
- NPI assigned
- Oct 18, 2018
- Last updated
- Feb 13, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-11216 | NM | |
| Clinical Social Worker | 1041C0700X | LCSW-21560 | AZ | |
| Clinical Social Worker | 1041C0700X | 108562 | TX | Primary |
Addresses
Primary practice location
11200 Sean Haggerty Dr Apt 3203
El Paso, TX 79934-3393
Mailing address
385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105
Other practice location 1
105 W Griggs Ave
Las Cruces, NM 88001-1235
Phone (575) 647-2879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-21560 | AZ | MD | Clinical Social Worker |
| C-11216 | NM | MD | Clinical Social Worker |
| 108562 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holon Health Great Lakes, P.C. | Current | Accepting new patients | |
| Honor the Light, LLC | Clinical | Current | Accepting new patients |
| La Clinica de Familia, Incorporated | Past | Accepting new patients | |
| Holon Health, Inc. | Past | Accepting new patients |
Locations
4433 E Broadway Blvd
Ste 101
Tucson, AZ 85711
5650 S 12th Ave
Ste 132
Tucson, AZ 85706
3540 Pump Rd
Richmond, VA 23233
Phone (804) 404-6270
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Holon Health
- Family Medicine Physician
- Glen Allen, VA
- NPI 1194414805
AZ
-
- Clinical Social Worker
- Box Elder, SD
- NPI 1306719166
-
- Addiction Medicine (Preventive Medicine) Physician
- Elizabethtown, KY
- NPI 1942902093
-
dba LCDF Community Mental Health Clinic
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1164802310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1194291989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CALLE DE ALEGRA STE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053423",
"telephone_number": "575-526-1105",
"fax_number": "575-524-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SEAN HAGGERTY DR APT 3203",
"city": "EL PASO",
"state": "TX",
"postal_code": "799343393",
"telephone_number": "505-316-1732"
}
],
"practiceLocations": [
{
"address_1": "105 W Griggs Ave",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880011235",
"country_code": "US",
"telephone_number": "575-647-2879",
"fax_number": "575-647-2898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REINHART",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-18",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-11216",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-21560",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "108562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.