Individual provider Active NPI

Lauren Reimink, LCSW

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1578996443
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006738A Issued in IN
Practice address
4403 N Calumet Ave
Valparaiso, IN 46383-1698
Phone
(219) 210-1412
NPI assigned
Aug 15, 2013
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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 34006738A IN Primary

Addresses

Primary practice location

4403 N Calumet Ave
Valparaiso, IN 46383-1698

Mailing address

4403 N Calumet Ave
Valparaiso, IN 46383-1698
Phone (219) 210-1412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20140625002060 IN Practitioner - Clinical Social Worker 9234354762 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006738AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Reimink Counseling, LLC Clinical Current Accepting new patients
Healthlinc, Inc. CurrentSince Mar 20, 2017 Accepting new patients
Healthlinc, Inc CurrentSince Mar 20, 2017 Accepting new patients
Porter-Starke Services Inc. CurrentSince Jul 10, 2020 Accepting new patients
Porter-Starke Services Inc. CurrentSince Jul 10, 2020 Accepting new patients

Locations

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

158 Napoleon St
Ste 220
Valparaiso, IN 46383

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

Organizations & group practices 5

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1578996443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 N CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463831698",
            "telephone_number": "219-210-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 N CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463831698",
            "telephone_number": "219-210-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMINK",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006738A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.