Individual provider Active NPI

Jennifer Noelle Reis, LICSW

  • Social Worker
  • Taunton, MA
National Provider Identifier
1659854115
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
125602 Issued in MA
Practice address
1 Washington St
Taunton, MA 02780-3960
Phone
(508) 823-6124
NPI assigned
Sep 11, 2018
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Social Worker 104100000X 125602 MA Primary

Addresses

Primary practice location

1 Washington St
Taunton, MA 02780-3960

Mailing address

1 Washington St
Taunton, MA 02780-3960
Phone (508) 823-6124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230221002240 MA Practitioner - Clinical Social Worker 7416329495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling of Bristol County, Inc.Group PAC ID 0143127779, 52 clinicians

Practice addresses (Care Compare)

1 Washington St
Taunton, MA 02780-5293
Phone (508) 977-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125602MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling of Bristol County Inc CurrentSince Nov 15, 2022 Accepting new patients
Community Counseling of Bristol County, Inc. CurrentSince Nov 15, 2022 Accepting new patients

Locations

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1659854115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803960",
            "telephone_number": "508-823-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803960",
            "telephone_number": "508-823-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "JENNIFER",
        "middle_name": "NOELLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "125602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.