Carol Ann Reich, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004636 Issued in WA

Practice address

16607 SE Newport Way
Issaquah, WA 98027-7844

Phone

(425) 747-9272

NPI assigned

May 16, 2007

Last updated

Dec 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1619184256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 SE NEWPORT WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277844",
            "telephone_number": "425-747-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 SE NEWPORT WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277844",
            "telephone_number": "425-747-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004313",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004636",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QMXPR0051827",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "RE9485",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Licia Lynn Raymond, MD
• Patricia Gale Read-Williams
• Recenter Self
• Linda J Reed, M.A., C.AD..
• Jennifer Ann Regan, M.D., PH.D
• Nadene Reichert, MFT-A
• Kapitolina Reid, MD
• Patrick Beau Reilly, PH.D.
• Aislinn Tercie-Jeness Rennison, DACM
• Lisa A. Rensberger, PA-C

• Clinical Social Worker in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.