Jonathan Reade, MSW – Clinical Social Worker

Key facts

NPI: 1669834396
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: X-09473 (NM)
Practice address: 92 Vista Montana Loop
Placitas, NM 87043-9518
Phone: (917) 412-9296
NPI assigned: Mar 22, 2016
Sex: Male
Sole proprietor: Yes

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.

GD Psych Services, LLC Psychologist · Rio Rancho, NM · NPI 1801379433

Medicare reassignment Care Compare group NPD NM

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2014
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: GD Psych Services, LLC (18 clinicians)

Practice addresses (Care Compare)

2200 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-1695
Phone (505) 218-6383

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20241002001958	NM	Practitioner - Clinical Social Worker	8921539883	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
X-09473	NM	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
GD Psych Services, LLC		Current since Jul 20, 2024	Accepting new patients

Locations

2200 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 218-6383

4200 Meadowlark Ln SE
Ste 1A
Rio Rancho, NM 87124

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	X-09473	NM	Yes

Addresses

Primary practice location

92 Vista Montana Loop
Placitas, NM 87043-9518

Mailing address

92 Vista Montana Loop
Placitas, NM 87043-9518
Phone (917) 412-9296

Other providers in Placitas, NM

All providers in Placitas, NM · Clinical Social Worker in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.