Jessica Suzanne-Berry Reinecke, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801091614 Issued in MI

Practice address

2215 Fuller Rd
Ann Arbor, MI 48105-2303

Phone

(734) 769-7100

NPI assigned

Apr 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Berry Former name

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1669092334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32111 BERTRAM DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851517",
            "telephone_number": "734-765-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-769-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKE",
        "first_name": "JESSICA",
        "middle_name": "SUZANNE-BERRY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Morgan Reifel, DNP, FNP-BC
• Miranda Reighard
• Lindsay Reilly, MA, CCC-SLP
• Mary Teresa Reilly, PA-C
• Teresa Kathleen Reimer, NP
• Rachel Leigh Reinert, MD
• James Paul Reinhart, MD
• Andrew R Reinink, MD
• Denise Reinke, N.P.
• Mary Alice Reinoehl, D.O.

• Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.