Individual provider Active NPI

Gianna Reese, LCSW

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1508482829
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13806 Issued in CT
Practice address
50 Litchfield St
Torrington, CT 06790-6424
Phone
(860) 489-3391
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29290 MN
Specialist 174400000X
Clinical Social Worker 1041C0700X 13806 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

50 Litchfield St
Torrington, CT 06790-6424

Mailing address

1547 30TH Ave S
Moorhead, MN 56560-5149

Other practice location 1

125 W Lincoln Ave Ste 3
Fergus Falls, MN 56537-2152
Phone (218) 287-4338

Other practice location 2

1806 E Fir Ave Ste 200
Fergus Falls, MN 56537-3921
Phone (218) 287-4338

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2024.

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1508482829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906424",
            "telephone_number": "860-489-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 W Lincoln Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565372152",
            "country_code": "US",
            "telephone_number": "218-287-4338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1806 E Fir Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565373921",
            "country_code": "US",
            "telephone_number": "218-287-4338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "GIANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29290",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.