Joni Reagan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003739A Issued in IN

Practice address

1319 W Bloomfield Rd
Bloomington, IN 47403-2000

Phone

(812) 337-0771

Fax

(812) 353-6137

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1720200082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PEPPERRIDGE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019884",
            "telephone_number": "812-337-0771",
            "fax_number": "812-353-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W BLOOMFIELD RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032000",
            "telephone_number": "812-337-0771",
            "fax_number": "812-353-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "JONI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003739A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Ray, MD
• Sandra Ray, PT
• RCG Bloomington, LLC
• Reach High Consulting and Therapy, LLC
• Erin Reagan, LMHC
• Hannah Rebarchik, RBT
• Rebecca Martinez Psychology Inc
• Rebecca R Taylor
• Emily Record, RBT
• Recovery Works of Bloomington, LLC

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.