Active NPI
Courtney Nicole Reeves, LCSW
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1255200432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW25893
- Practice address
- 7901 4TH St N Ste 300
St Petersburg, FL 33702 - Phone
- (321) 294-3561
- NPI assigned
- Nov 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW25893 | FL | Primary |
| Clinical Social Worker | 1041C0700X | 0904019549 | VA |
Addresses
Primary practice location
7901 4TH St N Ste 300
St Petersburg, FL 33702
Mailing address
PO Box 163
Catawba, SC 29704-0163
Phone (321) 294-3561
Other practice location 1
13455 Sunrise Valley Dr
Unit 2004
Herndon, VA 20171
Phone (321) 294-3561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7960 Donegan Dr
Suite 200
Manassas, VA 20109-2870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW25893 | FL | MD | Clinical Social Worker |
| 0904019549 | VA | MD | Clinical Social Worker |
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.
-
- Behavior Analyst
- Richmond, VA
- NPI 1194996280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1255200432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163",
"city": "CATAWBA",
"state": "SC",
"postal_code": "297040163",
"telephone_number": "321-294-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33702",
"telephone_number": "321-294-3561"
}
],
"practiceLocations": [
{
"address_1": "13455 Sunrise Valley Dr",
"address_2": "Unit 2004",
"address_purpose": "LOCATION",
"city": "Herndon",
"state": "VA",
"postal_code": "20171",
"country_code": "US",
"telephone_number": "321-294-3561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEVES",
"first_name": "COURTNEY",
"middle_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-04",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW25893",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904019549",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.