NPIMap

Individual provider Active NPI

Nicole Reilley, LMSW, CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Wilmington, DE
National Provider Identifier
1598300634
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1899 Issued in DE
Practice address
2601 Annand Dr Ste 4
Wilmington, DE 19808-3719
Phone
(302) 998-3334
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1899 DE Primary
Social Worker 104100000X SW125003 PA

Addresses

Primary practice location

2601 Annand Dr Ste 4
Wilmington, DE 19808-3719

Mailing address

2601 Annand Dr
Wilmington, DE 19808-3719

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cerner Health Information Exchange (HIE)

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
1899DEMDAddiction (Substance Use Disorder) Counselor
SW125003PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Img Associates LLC CurrentSince Nov 17, 2019 Accepting new patients
Heritage Medical Associates, P.a. CurrentSince Nov 17, 2019 Accepting new patients

Locations

2601 Annand Dr
Ste 4
Wilmington, DE 19808
Phone (302) 998-3334

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1e751165-d0f5-47ed-aa9b-1a8abb55d1d6/

Organizations & group practices 2

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1598300634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR STE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-998-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLEY",
        "first_name": "NICOLE",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "1899",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cerner",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2601 Annand Dr Ste 4",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198083719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.