Christa Reid, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017623 Issued in NC

Practice address

104 Tilghman Dr
Dunn, NC 28334-5533

Phone

(910) 892-1333

Fax

(910) 859-2929

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19232/brand/1/csg/1/fhir/r4

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.

• Healing Vibes LLC

  • Adult Mental Health Clinic/Center
  • Erwin, NC
  • NPI 1528794054

  Clinical

  NPD Authorized official
• Abc Pediatrics of Dunn, PA

  • Specialist
  • Dunn, NC
  • NPI 1417061011
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1346974987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CHICORA CLUB DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345676",
            "telephone_number": "910-818-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345533",
            "telephone_number": "910-892-1333",
            "fax_number": "910-859-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 B 12th Street",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "NC",
            "postal_code": "28339",
            "country_code": "US",
            "telephone_number": "910-818-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "CHRISTA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Lorraine Rasmussen, MS, CF-SLP
• Saranya Ravi
• Vina Victoria Ravichandran, MD
• Redwood LTC Group, LLC
• Heather L Reed, CFTS
• Rezina E Holland
• Rha Health Services NC LLC
• Sarah Rhodes
• Catherine Rhudy, OTR/L
• Richard E. Anglin, Jr. DDS, Ms, PA

• Clinical Social Worker in Dunn, NC
• Providers in Dunn, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.