Individual provider Active NPI

Marianne Reinhalter, LICSW

  • Clinical Social Worker
  • Duxbury, MA
National Provider Identifier
1366564791
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
30 Tremont St
Suite # 30
Duxbury, MA 02332-5301
Phone
(207) 497-2996
Fax
(207) 497-3467
NPI assigned
Apr 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

30 Tremont St
Suite # 30
Duxbury, MA 02332-5301

Mailing address

30 Tremont St
Suite # 30
Duxbury, MA 02332-5301
Phone (207) 497-2996

Other identifiers 2

IdentifierTypeStateIssuer
730051OtherMATUFTS
P04935OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1366564791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TREMONT ST",
            "address_2": "SUITE # 30",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325301",
            "telephone_number": "207-497-2996",
            "fax_number": "207-497-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TREMONT ST",
            "address_2": "SUITE # 30",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325301",
            "telephone_number": "207-497-2996",
            "fax_number": "207-497-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHALTER",
        "first_name": "MARIANNE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "730051",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P04935",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.