Individual provider Active NPI

Jacquelyn Taras Reid, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1205982238
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019650 Issued in NC
Practice address
1717 Legion Rd
Suite G101
Chapel Hill, NC 27517-2396
Phone
(919) 933-1560
Fax
(919) 933-1854
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C019650 NC Primary

Addresses

Primary practice location

1717 Legion Rd
Suite G101
Chapel Hill, NC 27517-2396

Mailing address

120 Hillspring LN
Chapel Hill, NC 27516-4010
Phone (919) 928-0968

Other practice location 1

200 N Greensboro St Ste C6
Carrboro, NC 27510-1849
Phone (919) 966-7890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jreid790749@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20260505002907 NC Practitioner - Clinical Social Worker 1759859036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C019650NCMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: jreid790749@direct.unc.nchie.net

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1205982238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HILLSPRING LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164010",
            "telephone_number": "919-928-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LEGION RD",
            "address_2": "SUITE G101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172396",
            "telephone_number": "919-933-1560",
            "fax_number": "919-933-1854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Greensboro St Ste C6",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275101849",
            "country_code": "US",
            "telephone_number": "919-966-7890",
            "fax_number": "919-966-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "JACQUELYN",
        "middle_name": "TARAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jreid790749@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 N Greensboro St Ste C6",
            "city": "Carrboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275101849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.