Individual provider Active NPI

Niko Louise Reist, LSW

  • Clinical Social Worker
  • Berea, OH
National Provider Identifier
1437042470
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW142750 Issued in PA
Practice address
398 W Bagley Rd
Berea, OH 44017-1369
Phone
(216) 282-4749
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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 SW142750 PA Primary

Addresses

Primary practice location

398 W Bagley Rd
Berea, OH 44017-1369

Mailing address

16705 Route 89
Corry, PA 16407-8713
Phone (814) 392-5332

Other names 1

  • Mrs. Niko Louise Reist Other name

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

State licenses

LicenseStateTypeSpecialty
SW142750PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1437042470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16705 ROUTE 89",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164078713",
            "telephone_number": "814-392-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171369",
            "telephone_number": "216-282-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIST",
        "first_name": "NIKO",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW142750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKO",
            "last_name": "REIST",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; 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.