Reilly Sean Case

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

19582 Beach Blvd
Suite 207
Huntington Beach, CA 92648

Phone

(949) 602-0029

Fax

(714) 964-6919

NPI assigned

Dec 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healthy Mind Psychotherapy Inc

  dba HealthyMind.Care

  • Mental Health Counselor
  • Irvine, CA
  • NPI 1831895267

  Clinical

  NPD (past)
• Newport Huntington Medical Group

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1063426997
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1285818716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1532",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590532",
            "telephone_number": "949-602-0029",
            "fax_number": "714-964-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD",
            "address_2": "SUITE 207",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "949-602-0029",
            "fax_number": "714-964-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "REILLY",
        "middle_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jo Carroll, PHD
• Carson MC Beath & Boswell Inc
• Karen J. Carter, LCSW
• Lorayna Carter
• Lisa Anne Casanova-Sidoti, RNFA
• Laurel Ann Casey, COTA
• Paul Joseph Casey, MD
• Jaime Casmano
• Aileen Castaneda
• Paula Castanon

• Clinical Social Worker in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.