Active NPI
Neal R. Reed, L.C.S.W.
- Clinical Social Worker
- Janesville, WI
National Provider Identifier
1760925796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8225-123
- Practice address
- 1 S Main St
Janesville, WI 53545 - Phone
- (608) 757-0404
- NPI assigned
- Nov 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17212-130 | WI | |
| Clinical Social Worker | 1041C0700X | 8225-123 | WI | Primary |
Addresses
Primary practice location
1 S Main St
Janesville, WI 53545
Mailing address
1 S Main St
Janesville, WI 53545-3977
Phone (608) 757-0404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17212-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Services LTD. | Current | Accepting new patients |
Locations
1 S Main St
Ste 250
Janesville, WI 53545
Phone (608) 757-0404
1 S Main St
Janesville, WI 53545
Phone (608) 757-0404
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Janesville, WI
- NPI 1730273483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1760925796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S MAIN ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535453977",
"telephone_number": "608-757-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S MAIN ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "53545",
"telephone_number": "608-757-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "NEAL",
"middle_name": "R.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-22",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "17212-130",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8225-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.