Individual provider Active NPI

Eric Eid-Reiner, MSW, LICSW

  • Clinical Social Worker
  • South Hamilton, MA
National Provider Identifier
1265802003
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121122 Issued in MA
Practice address
205 Willow St Ste B3A
South Hamilton, MA 01982-2253
Phone
(617) 398-7066
NPI assigned
Oct 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 484992 MA
Clinical Social Worker 1041C0700X 121122 MA Primary

Addresses

Primary practice location

205 Willow St Ste B3A
South Hamilton, MA 01982-2253

Mailing address

123 Haven St # 386
Reading, MA 01867-2952
Phone (617) 398-7066

Other names 1

  • Eric Eid-Reiner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 7, 2023 through Jul 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121122MAMDClinical Social Worker
484992MAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Perspectives Therapy PLLC Clinical CurrentSince Apr 6, 2023 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Locations

123 Haven St
Unit 386
Reading, MA 01867
Phone (617) 398-7066

205 Willow St
Ste B3A
South Hamilton, MA 01982
Phone (617) 398-7066

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1265802003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HAVEN ST # 386",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672952",
            "telephone_number": "617-398-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILLOW ST STE B3A",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822253",
            "telephone_number": "617-398-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EID-REINER",
        "first_name": "ERIC",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "484992",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "EID-REINER",
            "credential": "MSW, LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Hamilton, MA

Sources for this page

Verify at the official NPI Registry.