Individual provider Active NPI

Laurie C Reis, LCSW

  • Clinical Social Worker
  • Coos Bay, OR
National Provider Identifier
1205474137
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16012 Issued in OR
Practice address
281 Laclair St
Coos Bay, OR 97420-2988
Phone
(541) 266-6769
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L16012 OR Primary
Social Worker 104100000X

Addresses

Primary practice location

281 Laclair St
Coos Bay, OR 97420-2988

Mailing address

PO Box 712
Coos Bay, OR 97420-0135
Phone (707) 537-5072

Other practice location 1

271 N Baxter St
Coquille, OR 97423-1826
Phone (707) 537-5072

Other practice location 2

222 E 2nd St Ste 4
Coquille, OR 97423-1864
Phone (707) 537-5072

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L16012ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Strengths Based Explorations LLC Clinical CurrentSince Mar 24, 2025 Accepting new patients

Locations

271 N Baxter St
Coquille, OR 97423
Phone (541) 404-4542

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1205474137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974200135",
            "telephone_number": "707-537-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 LACLAIR ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202988",
            "telephone_number": "541-266-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 N Baxter St",
            "address_purpose": "LOCATION",
            "city": "Coquille",
            "state": "OR",
            "postal_code": "974231826",
            "country_code": "US",
            "telephone_number": "707-537-5072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 E 2nd St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Coquille",
            "state": "OR",
            "postal_code": "974231864",
            "country_code": "US",
            "telephone_number": "707-537-5072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIS",
        "first_name": "LAURIE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16012",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.