Individual provider Active NPI

Reyna Yerim Choi Digiovanni

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1760264097
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851118796 Issued in MI
Practice address
1801 E Saginaw St Ste 1
Lansing, MI 48912-2326
Phone
(517) 667-0061
Fax
(517) 507-4888
NPI assigned
Oct 20, 2023
Reactivated
Oct 30, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851118796 MI Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1801 E Saginaw St Ste 1
Lansing, MI 48912-2326

Mailing address

1801 E Saginaw St Ste 1
Lansing, MI 48912-2326
Phone (517) 667-0061

Other practice location 1

6110 Abbot Rd
East Lansing, MI 48823-1410
Phone (517) 721-1313

Other practice location 2

6102 Abbot Rd
East Lansing, MI 48823-1410
Phone (913) 647-9676

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
6851118796MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Next Gen Therapy LLC PastSince Dec 6, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1760264097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E SAGINAW ST STE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122326",
            "telephone_number": "517-667-0061",
            "fax_number": "517-507-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E SAGINAW ST STE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122326",
            "telephone_number": "517-667-0061",
            "fax_number": "517-507-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6110 Abbot Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488231410",
            "country_code": "US",
            "telephone_number": "517-721-1313",
            "fax_number": "616-259-4835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6102 Abbot Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488231410",
            "country_code": "US",
            "telephone_number": "913-647-9676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "REYNA",
        "middle_name": "YERIM CHOI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "deactivation_date": "2024-09-26",
        "reactivation_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851118796",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.