Individual provider Active NPI

Debora Beth Reinhardt-Young, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1730671413
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17200 Issued in TX
Practice address
10935 Estate LN Ste 453
Dallas, TX 75238-2316
Phone
(972) 818-5358
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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 17200 TX Primary

Addresses

Primary practice location

10935 Estate LN Ste 453
Dallas, TX 75238-2316

Mailing address

105 Sonoma Creek LN
Richardson, TX 75081-3563
Phone (972) 977-9467

Other practice location 1

105 Sonoma Creek Ln
Richardson, TX 75081-3563
Phone (972) 977-9467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191106002012 TX Practitioner - Clinical Social Worker 8527390814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Psychology CenterGroup PAC ID 2365767589, 7 clinicians

Practice addresses (Care Compare)

5925 Forest LN
Suite 505
Dallas, TX 75230-2762
Phone (214) 361-2100

5931 Desco Dr
Dallas, TX 75225-1604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17200TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Reinhardt Counseling Services LLC CurrentSince Jan 26, 2020 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jun 17, 2021 Accepting new patients
Dallas Counseling & Psychotherapy PLLC CurrentSince Jan 4, 2021 Accepting new patients
Health Psychology Center CurrentSince Nov 1, 2019 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

7557 Rambler Rd
Ste 740
Dallas, TX 75231
Phone (469) 580-7763

5925 Forest Ln
Ste 505
Dallas, TX 75230

6380 Lyndon B Johnson Fwy
Ste 299
Dallas, TX 75240
Phone (972) 755-0996

10935 Estate Ln
Ste 453
Dallas, TX 75238
Phone (972) 818-5358

Organizations & group practices 4

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1730671413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SONOMA CREEK LN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813563",
            "telephone_number": "972-977-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN STE 453",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382316",
            "telephone_number": "972-818-5358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Sonoma Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750813563",
            "country_code": "US",
            "telephone_number": "972-977-9467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINHARDT-YOUNG",
        "first_name": "DEBORA",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "17200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.