Navara Reardon, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-36784 Issued in ID

Practice address

6795 N Mineral Dr
Coeur D Alene, ID 83815-8700

Phone

(208) 769-4222

Fax

(844) 803-7399

NPI assigned

Jun 7, 2017

Last updated

Feb 26, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raising Resilience Holistic Mental Wellness IncGroup PAC ID 5193102051, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raising Resilience Holistic Mental Wellness Inc

  • Clinical Social Worker
  • Coeur d'Alene, ID
  • NPI 1497377469
  Medicare reassignment Care Compare group Authorized official
• Dirne Health Centers Inc

  dba Heritage Health

  • Federally Qualified Health Center (FQHC)
  • Coeur d'Alene, ID
  • NPI 1720564271

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1396274932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E HARRISON AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143238",
            "telephone_number": "208-660-4675",
            "fax_number": "208-666-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 N MINERAL DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158700",
            "telephone_number": "208-769-4222",
            "fax_number": "844-803-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "NAVARA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "39279",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-36784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2082112",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rathdrum Clinic, Inc. (Restored Horizons)
• Elizabeth M Rau, M.D.
• Thomas R Rau, MD
• Joshua Michael Raybell, LCPC
• Katherine B. Ream
• Rebalance Healing LLC
• Matthew Reckinger-Rowe, PHD,CPC, CMLC.
• Susan Nasser Record, LPC
• Redeeming Hearts LLC
• Carrie Reecer

• Social Worker in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.