Individual provider Active NPI

Reanna Errebo, LMSW

  • Social Worker
  • Overland Park, KS
National Provider Identifier
1740825108
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10460 Issued in KS
Practice address
6701 W 64TH St Ste 109
Overland Park, KS 66202-4175
Phone
(913) 534-4733
Fax
(913) 766-7138
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10460 KS Primary

Addresses

Primary practice location

6701 W 64TH St Ste 109
Overland Park, KS 66202-4175

Mailing address

6701 W 64TH St Ste 109
Overland Park, KS 66202-4175
Phone (913) 534-4733

Other names 1

  • Reanna Weidner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10460KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Connections, LLC CurrentSince Jul 24, 2024 Accepting new patients

Locations

6701 W 64th St
Ste 109
Shawnee Msn, KS 66202
Phone (913) 534-4733

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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1740825108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 W 64TH ST STE 109",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024175",
            "telephone_number": "913-534-4733",
            "fax_number": "913-766-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W 64TH ST STE 109",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024175",
            "telephone_number": "913-534-4733",
            "fax_number": "913-766-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERREBO",
        "first_name": "REANNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REANNA",
            "last_name": "WEIDNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.