Individual provider Active NPI

Patrick Reynolds-Berry, MA, MSW, LSW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1376905018
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1450710 Issued in OH
Practice address
7162 Reading Rd
Suite 600
Cincinnati, OH 45237-3838
Phone
(513) 672-3712
Fax
(513) 241-4333
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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 S.1450710 OH Primary

Addresses

Primary practice location

7162 Reading Rd
Suite 600
Cincinnati, OH 45237-3838

Mailing address

7162 Reading Rd
Suite 600
Cincinnati, OH 45237-3838
Phone (513) 672-3712

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
S.1450710OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Southwestern Ohio PastSince Sep 1, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccswoh/r4/

Organizations & group practices 1

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1376905018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7162 READING RD",
            "address_2": "SUITE 600",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373838",
            "telephone_number": "513-672-3712",
            "fax_number": "513-241-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7162 READING RD",
            "address_2": "SUITE 600",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373838",
            "telephone_number": "513-672-3712",
            "fax_number": "513-241-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS-BERRY",
        "first_name": "PATRICK",
        "credential": "MA, MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1450710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.