Individual provider Active NPI

Lora Reinders, LCSW

  • Social Worker
  • Kenosha, WI
National Provider Identifier
1730347451
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7448-123 Issued in WI
Practice address
4633 Washington Rd
Kenosha, WI 53144-4220
Phone
(262) 652-7222
Fax
(262) 652-1734
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7448-123 WI
Social Worker 104100000X 7448-123 WI Primary

Addresses

Primary practice location

4633 Washington Rd
Kenosha, WI 53144-4220

Mailing address

4633 Washington Rd
Kenosha, WI 53144-3552
Phone (262) 652-7222

Other identifiers 1

IdentifierTypeStateIssuer
43738900MedicaidWI

Other names 1

  • Lora Schultz Reinders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20091203000572 WI Practitioner - Clinical Social Worker 3476692419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Consulting of Kenosha LLCGroup PAC ID 8426086232, 2 clinicians

Practice addresses (Care Compare)

6905 Green Bay Rd
Suite 104
Kenosha, WI 53142-1459

6905 Green Bay Rd
Suite 104
Kenosha, WI 53142-1460
Phone (262) 652-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7448-123WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Consulting of Kenosha LLC Social Worker CurrentSince Feb 4, 2012 Accepting new patients

Locations

6121 Green Bay Rd
Ste 220
Kenosha, WI 53142
Phone (262) 652-7222

4633 Washington Rd
Kenosha, WI 53144
Phone (262) 652-7222

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1730347451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443552",
            "telephone_number": "262-652-7222",
            "fax_number": "262-652-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444220",
            "telephone_number": "262-652-7222",
            "fax_number": "262-652-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINDERS",
        "first_name": "LORA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-01-19",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7448-123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "7448-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43738900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "SCHULTZ REINDERS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.