Jullliene Reed-Tso, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-0856 Issued in NM

Practice address

New Sunrise RTC 20 Mockingbird Drive
San Fidel, NM 87049

Phone

(505) 552-5500

Fax

(505) 552-5530

NPI assigned

Oct 18, 2017

Last updated

Oct 18, 2017By the provider in NPPES

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

• Ms. Julliene (Jay) Reed-Tso Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• US Dept. Health & Human Services - Usphs Indian Health Services

  dba New Sunrise Regional Treatment Center

  • Substance Abuse Rehabilitation Facility
  • San Fidel, NM
  • NPI 1740333160
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1689185571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "870490219",
            "telephone_number": "505-552-5500",
            "fax_number": "505-552-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW SUNRISE RTC 20 MOCKINGBIRD DRIVE",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "87049",
            "telephone_number": "505-552-5500",
            "fax_number": "505-552-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-TSO",
        "first_name": "JULLLIENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-0856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULLIENE (JAY)",
            "last_name": "REED-TSO",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jackie A Mackey
• Teresa Yvonne Makowski, PHD
• William George Morningstar, DDS
• Francine M Morris, RN
• Domineque D Nunez
• Susan Ann Russell, RPH
• Melissa M Salinas, PAC
• Mona Sarrai, M.D.
• Linda Maurine Schultz, M.D.
• Scarlet Danielle Southern, RPH

• Clinical Social Worker in San Fidel, NM
• Providers in San Fidel, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.