Jennifer Reid, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1 McKayla Dr
New Milford, CT 06776-4666

Phone

(860) 960-4470

NPI assigned

Feb 5, 2020

Last updated

Aug 24, 2022By 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

Medicare fee-for-service enrollment

Enrolled in CT

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Renaissance, Inc.Group PAC ID 0941253728, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connecticut Renaissance, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Stamford, CT
  • NPI 1700893807
  Medicare reassignment Care Compare group NPD
• Northpoint Psychiatric Consultants LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, CT
  • NPI 1568096790
  Medicare reassignment NPD
• Revive, Rejuvenate, Renew, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Milford, CT
  • NPI 1912606526
  NPD Authorized official
• Connecticut Renaissance, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waterbury, CT
  • NPI 1700352721
  NPD
• Connecticut Renaissance, Inc

  dba CT Renaissance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, CT
  • NPI 1265449359
  NPD (past)

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1568094894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MCKAYLA DR",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067764666",
            "telephone_number": "860-960-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MCKAYLA DR",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067764666",
            "telephone_number": "860-960-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "010515",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rancourt Counseling, LLC (New Milford Counseling Center)
• Christopher Rancourt, LMSW
• Randolph C. Kinkade
• Antonio Reale
• Reflective Moments Therapy LLC
• Emily Renna, ATC
• Heather Nicole Repko-Moses
• Revive, Rejuvenate, Renew, LLC
• Sherry Reyes
• Sophia Stephanie Rickevicius, FAMILY NURSE PRACTIT

• Clinical Social Worker in New Milford, CT
• Providers in New Milford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.