Individual provider Active NPI

Jennifer Reinhardt

  • Social Worker
  • Kawkawlin, MI
National Provider Identifier
1588062533
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6803071247 Issued in MI
Practice address
1961 Parish Rd
Kawkawlin, MI 48631-9459
Phone
(989) 895-2340
Fax
(989) 895-2893
NPI assigned
Dec 8, 2014
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6803071247 MI Primary

Addresses

Primary practice location

1961 Parish Rd
Kawkawlin, MI 48631-9459

Mailing address

1961 Parish Rd
Kawkawlin, MI 48631-9459
Phone (989) 895-2340

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

State licenses

LicenseStateTypeSpecialty
6803071247MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bay-Arenac Behavioral Health PastSince Jan 8, 2007 Accepting new patients

Organizations & group practices 1

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1588062533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 PARISH RD",
            "city": "KAWKAWLIN",
            "state": "MI",
            "postal_code": "486319459",
            "telephone_number": "989-895-2340",
            "fax_number": "989-895-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 PARISH RD",
            "city": "KAWKAWLIN",
            "state": "MI",
            "postal_code": "486319459",
            "telephone_number": "989-895-2340",
            "fax_number": "989-895-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6803071247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kawkawlin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.