Individual provider Active NPI

Nancy Ann Reyes, LCSW

  • Clinical Social Worker
  • Branford, CT
National Provider Identifier
1639699556
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009662 Issued in CT
Practice address
250 West Main Street
Suite 101
Branford, CT 06405-4032
Phone
(203) 889-7046
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58.009662 CT
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 009662 CT Primary

Addresses

Primary practice location

250 West Main Street
Suite 101
Branford, CT 06405-4032

Mailing address

250 W Main St Ste 101
Branford, CT 06405-4032
Phone (203) 889-7046

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260107000348 CT Practitioner - Clinical Social Worker 3375039639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 W Main St
Suite 101
Branford, CT 06405-4032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009662CTMDClinical Social Worker
58.009662CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

250 W Main St
Ste 101
Branford, CT 06405
Phone (203) 889-7046

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751760000000",
    "number": "1639699556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W MAIN ST STE 101",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054032",
            "telephone_number": "203-889-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WEST MAIN STREET",
            "address_2": "SUITE 101",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054032",
            "telephone_number": "203-889-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.009662",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.