Individual provider Active NPI

Krista Reuther, LCSW

  • Clinical Social Worker
  • Palo Alto, CA
National Provider Identifier
1780048850
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW29643 Issued in CA
Practice address
700 Welch Rd
Suite 114a
Palo Alto, CA 94304-1502
Phone
(650) 497-8175
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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 LCSW29643 CA Primary

Addresses

Primary practice location

700 Welch Rd
Suite 114a
Palo Alto, CA 94304-1502

Mailing address

700 Welch Rd
Suite 114a
Palo Alto, CA 94304-1502
Phone (650) 497-8175

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW29643CAMDClinical Social Worker
29643CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1780048850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WELCH RD",
            "address_2": "SUITE 114A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041502",
            "telephone_number": "650-497-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WELCH RD",
            "address_2": "SUITE 114A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041502",
            "telephone_number": "650-497-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUTHER",
        "first_name": "KRISTA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.