Individual provider Active NPI

Juana Reinoso, MSW

  • Clinical Social Worker
  • Peabody, MA
National Provider Identifier
1497484919
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1R Newbury St Ste 401
Peabody, MA 01960-3816
Phone
(617) 804-2773
NPI assigned
Jun 9, 2022
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

1R Newbury St Ste 401
Peabody, MA 01960-3816

Mailing address

20 Eastbrook Rd Ste 104
Dedham, MA 02026-2088
Phone (781) 302-4600

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

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Pathways to Wellness LLC CurrentSince Dec 29, 2024 Accepting new patients
Toward Independent Living and Learning PastSince Jun 1, 2022 Accepting new patients
Toward Independent Living & Learning, Inc. PastSince Jun 1, 2022 Accepting new patients

Locations

1R Newbury St
Ste 401
Peabody, MA 01960
Phone (617) 804-2773

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1497484919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EASTBROOK RD STE 104",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262088",
            "telephone_number": "781-302-4600",
            "fax_number": "781-329-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST STE 401",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603816",
            "telephone_number": "617-804-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINOSO",
        "first_name": "JUANA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.