Individual provider Active NPI

Lisa Reinbold, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1730612326
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60167661 Issued in WA
Practice address
3114 S Norman St
Seattle, WA 98144-3208
Phone
(206) 679-0449
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 56547853501 UT
Clinical Social Worker 1041C0700X LW60167661 WA Primary
Clinical Social Worker 1041C0700X LCSW41735 ID
Clinical Social Worker 1041C0700X 106759 TX

Addresses

Primary practice location

3114 S Norman St
Seattle, WA 98144-3208

Mailing address

5722 Keystone PL N
Seattle, WA 98103-5928
Phone (206) 679-0449

Other practice location 1

5722 Keystone Pl N
Seattle, WA 98103-5928
Phone (206) 679-0449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 17, 2023 through Aug 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW41735IDMDClinical Social Worker
106759TXMDClinical Social Worker
56547853501UTMDClinical Social Worker
LW60167661WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1730612326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 KEYSTONE PL N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035928",
            "telephone_number": "206-679-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 S NORMAN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443208",
            "telephone_number": "206-679-0449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5722 Keystone Pl N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981035928",
            "country_code": "US",
            "telephone_number": "206-679-0449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINBOLD",
        "first_name": "LISA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "56547853501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60167661",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW41735",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.