Individual provider Active NPI

Deborah Anne Reumann, LISW

  • Clinical Social Worker
  • Las Vegas, NM
National Provider Identifier
1659467181
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-4116 Issued in NM
Practice address
1119 Douglas Ave.
Las Vegas, NM 87701-3932
Phone
(505) 718-6930
Fax
(505) 454-3803
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-4116 NM Primary

Addresses

Primary practice location

1119 Douglas Ave.
Las Vegas, NM 87701-3932

Mailing address

1119 Douglas Ave.
Las Vegas, NM 87701-3932
Phone (505) 718-6930

Other identifiers 1

IdentifierTypeStateIssuer
000G1676MedicaidNM

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valencia Counseling Service Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1659467181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 DOUGLAS AVE.",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013932",
            "telephone_number": "505-718-6930",
            "fax_number": "505-454-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 DOUGLAS AVE.",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013932",
            "telephone_number": "505-718-6930",
            "fax_number": "505-454-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUMANN",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-4116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G1676",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.