Individual provider Active NPI

Katie Reich, LCSW BCD

  • Clinical Social Worker
  • Northport, AL
National Provider Identifier
1245313469
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0345C Issued in AL
Practice address
519 Energy Center Blvd Ste 1105
Northport, AL 35473-5819
Phone
(205) 248-2255
Fax
(205) 248-7321
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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 0345C AL Primary

Addresses

Primary practice location

519 Energy Center Blvd Ste 1105
Northport, AL 35473-5819

Mailing address

15 Rollingwood
Tuscaloosa, AL 35406-2257
Phone (205) 886-2247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1245313469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROLLINGWOOD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062257",
            "telephone_number": "205-886-2247",
            "fax_number": "205-248-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ENERGY CENTER BLVD STE 1105",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735819",
            "telephone_number": "205-248-2255",
            "fax_number": "205-248-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "KATIE",
        "name_prefix": "Ms.",
        "credential": "LCSW BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0345C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.