Rae L. Legere-Reardon, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3231 Issued in CT

Practice address

39A Waterbury Rd
Prospect, CT 06712-1249

Phone

(203) 758-3570

NPI assigned

Mar 28, 2017

Last updated

Mar 28, 2017By 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 1

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

University of Connecticut School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Safe Harbor Christian Counseling of Connecticut, LLCGroup PAC ID 4587951934, 4 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.

• Safe Harbor Christian Counseling of Connecticut, LLC

  • Community/Behavioral Health Agency
  • Trumbull, CT
  • NPI 1245467398
  Medicare reassignment Care Compare group NPD
• Southern Connecticut Christian Counseling Center

  dba Renew Counseling Associates

  • Community/Behavioral Health Agency
  • Fairfield, CT
  • NPI 1164652871
  Medicare reassignment NPD
• Wellness Center of Oxford

  dba The Wellness Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelton, CT
  • NPI 1275008195
  Medicare reassignment NPD
• Christian Counseling of Greater Waterbury

  • Social Worker
  • Prospect, CT
  • NPI 1265970339
  NPD (past)
• Thrive Center LLP

  • Clinical Social Worker
  • Middlebury, CT
  • NPI 1992417778
  NPD (past)

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1588196752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MORNING MIST RD",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067703522",
            "telephone_number": "203-278-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39A WATERBURY RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121249",
            "telephone_number": "203-758-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGERE-REARDON",
        "first_name": "RAE",
        "middle_name": "L.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "3231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Lamadeleine, ATHLETIC TRAINER
• Joseph A Lamberti, R,PH., PD
• Lasting Smiles of Prospect
• Dieu Le
• Olivia Rae Leach, PA-C
• Robyn Levine, LPC
• Pamela Nicole Martin Line, APRN
• Angie J Louis, PT
• LTC Dental LLP (Brijesh P. Chandwani, DMD)
• Jack Lu, LCSW, MSW

• Social Worker in Prospect, CT
• Providers in Prospect, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.