Active NPI
Susan Reed-Imes, LCSW
- Clinical Social Worker
- New Port Richey, FL
National Provider Identifier
1245730688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14461
- Practice address
- 7702 Massachusetts Ave
New Port Richey, FL 34653-3024 - Phone
- (727) 847-0069
- Fax
- (727) 849-3780
- NPI assigned
- Feb 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14461 | FL | Primary |
Addresses
Primary practice location
7702 Massachusetts Ave
New Port Richey, FL 34653-3024
Mailing address
7702 Massachusetts Ave
New Port Richey, FL 34653-3024
Phone (727) 847-0069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619143021 | Medicaid | FL | |
| 1245730688 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14461 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Services, Inc | Clinical | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1245730688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7702 MASSACHUSETTS AVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346533024",
"telephone_number": "727-847-0069",
"fax_number": "727-849-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7702 MASSACHUSETTS AVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346533024",
"telephone_number": "727-847-0069",
"fax_number": "727-849-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED-IMES",
"first_name": "SUSAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "14461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619143021",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245730688",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.