Rebecca Shea Reilly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11883 Issued in CT

Practice address

360 Main St Unit 2D
Middletown, CT 06457-3375

Phone

(860) 248-6121

NPI assigned

Jan 10, 2020

Last updated

Dec 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smallvictorieswellnessservicespllc.rebeccashea@153738.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rushford Center, Inc.

  • Psychologist
  • Meriden, CT
  • NPI 1275541005

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1285274944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MAIN ST UNIT 2D",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573375",
            "telephone_number": "860-248-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAIN ST UNIT 2D",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573375",
            "telephone_number": "860-248-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "REBECCA",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhagyalakshmi Reddy, M.D.
• Kalpana Ginugu Reddy, MD
• Stephen Redmon, DC
• Redwood Physical Therapy LLC
• Ryan Reed
• Steven Reiner, DDS
• Amy Reiniger
• Z Christopher Religa, DMD MS
• Rem Connecticut Community Services
• Resilient Spirit Psychotherapy LLC

• Clinical Social Worker in Middletown, CT
• Providers in Middletown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.