Individual provider Active NPI

Janae Alyce Reinhardt, LCSW

  • Clinical Social Worker
  • Stockton, CA
National Provider Identifier
1689296311
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW120751 Issued in CA
Practice address
430 N Pilgrim St
Stockton, CA 95205-4428
Phone
(209) 466-0853
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 LCSW120751 CA Primary

Addresses

Primary practice location

430 N Pilgrim St
Stockton, CA 95205-4428

Mailing address

430 N Pilgrim St
Stockton, CA 95205-4428
Phone (209) 466-0853

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL http://www.chstockton.org/ Direct
CONNECT URL http://www.chstockton.org/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240607002204 CA Practitioner - Clinical Social Worker 5698217479 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW120751CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Dec 22, 2024 Accepting new patients
San Joaquin Behavioral Health Services Clinical Current Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Dec 22, 2024 Accepting new patients
An Elegant Sufficiency, a Psychological Corporation CurrentSince Dec 1, 2024 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Apr 24, 2024 Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

2431 W March Ln
Ste 200
Stockton, CA 95207
Phone (209) 200-8305

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 5

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": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1689296311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N PILGRIM ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054428",
            "telephone_number": "209-466-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N PILGRIM ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054428",
            "telephone_number": "209-466-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "JANAE",
        "middle_name": "ALYCE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW120751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.chstockton.org/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "430 N Pilgrim St",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952054428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.chstockton.org/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "430 N Pilgrim St",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952054428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.