Individual provider Active NPI

Sandra E Reinert, L.C.S.W.-R

  • Clinical Social Worker
  • West Islip, NY
National Provider Identifier
1437238755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R056708 Issued in NY
Practice address
77 Sequams LN E
West Islip, NY 11795-4507
Phone
(631) 422-3685
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R056708 NY Primary

Addresses

Primary practice location

77 Sequams LN E
West Islip, NY 11795-4507

Mailing address

77 Sequams LN E
West Islip, NY 11795-4507
Phone (631) 422-3685

Other identifiers 2

IdentifierTypeStateIssuer
111029OtherNYVYTRA
R056708OtherNYHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20050526000299 NY Practitioner - Clinical Social Worker 5193767473 Practice locations: Babylon, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

42 Fire Island Ave
Suite 110
Babylon, NY 11702-3540
Phone (631) 422-3685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R056708NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437238755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SEQUAMS LN E",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954507",
            "telephone_number": "631-422-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SEQUAMS LN E",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954507",
            "telephone_number": "631-422-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINERT",
        "first_name": "SANDRA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "111029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "R056708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.