Lisa Marie Dorleans-Reyes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149024589 Issued in IL

Practice address

2323 Dresden Avenue
Rockford, IL 61103-3628

Phone

(815) 323-8160

NPI assigned

Jun 16, 2022

Last updated

Jun 16, 2022By the provider in NPPES

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 IL

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Renita Shores-GastonGroup PAC ID 0941614705, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renita Shores-Gaston

  dba Resilience Counseling

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1518421577
  Medicare reassignment Care Compare group NPD
• Linda Nguyen

  • Marriage & Family Therapist
  • Rockford, IL
  • NPI 1710791439
  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1205566692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 DRESDEN AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033628",
            "telephone_number": "815-323-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 DRESDEN AVENUE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033628",
            "telephone_number": "815-323-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORLEANS-REYES",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Donohoo
• Betsy Joanne Donovan, LCSW, MSW
• Venkata Satish Dontaraju, M.D, MRCP
• Megan Jean Dooley
• Machelle M Dopkins, CCC
• Katerina C Doronila-Hughes, MD
• Lisa M Dorsey-Bornfreedom, MD
• John T. Dorsey, MD
• Prabha Chand Dosi, M.D.
• Reannon Doty

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.