Individual provider Active NPI

Sandra Kaye Reese, LCSW

  • Clinical Social Worker
  • Mountain Home, AR
National Provider Identifier
1255414595
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
15 E 5TH St
Mountain Home, AR 72653-3809
Phone
(870) 425-2030
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 Primary

Addresses

Primary practice location

15 E 5TH St
Mountain Home, AR 72653-3809

Mailing address

911 S Baker St
Mountain Home, AR 72653-4711
Phone (870) 425-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180926001924 AR Practitioner - Clinical Social Worker 1052662376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

353 E 8TH St
Mountain Home, AR 72653-4423
Phone (870) 701-5141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Behavioral Health Services of Arkansas, Inc Current Accepting new patients
Hometown Behavioral Health Services of Ak Inc. Clinical CurrentSince May 15, 2024 Accepting new patients

Locations

503 SE Lindsey St
Hoxie, AR 72433
Phone (870) 886-1333

353 E 8th St
Mountain Home, AR 72653
Phone (870) 425-3125

Organizations & group practices 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1255414595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S BAKER ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534711",
            "telephone_number": "870-425-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 5TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533809",
            "telephone_number": "870-425-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "SANDRA",
        "middle_name": "KAYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.