Active NPI
Reyna Yerim Choi Digiovanni
- Clinical Social Worker
- Lansing, MI
National Provider Identifier
1760264097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851118796
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6851118796 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Gen Therapy LLC | Past | 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.
-
- Behavior Analyst
- East Lansing, MI
- NPI 1265933832
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.