Individual provider Active NPI

Reina Ronquillo, LCSW-C

  • Social Worker
  • Ridgely, MD
National Provider Identifier
1780378380
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
30116 Issued in MD
Practice address
208 W 1St St
Ridgely, MD 21660-2133
Phone
(443) 228-8805
Fax
(443) 327-9445
NPI assigned
Jun 6, 2023
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 30116 MD Primary

Addresses

Primary practice location

208 W 1St St
Ridgely, MD 21660-2133

Mailing address

208 W 1St St
Ridgely, MD 21660-2133
Phone (443) 228-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911000199 MD Practitioner - Clinical Social Worker 8820591480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 Randolph St
Denton, MD 21629-1243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Sep 1, 2025 Accepting new patients
Choptank Community Health System Inc CurrentSince Sep 1, 2025 Accepting new patients
Healing With Reina LLC Past Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

320 Hargraves Dr
Federalsburg, MD 21632
Phone (410) 754-9021

Organizations & group practices 3

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1780378380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 1ST ST",
            "city": "RIDGELY",
            "state": "MD",
            "postal_code": "216602133",
            "telephone_number": "443-228-8805",
            "fax_number": "443-327-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 1ST ST",
            "city": "RIDGELY",
            "state": "MD",
            "postal_code": "216602133",
            "telephone_number": "443-228-8805",
            "fax_number": "443-327-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONQUILLO",
        "first_name": "REINA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "30116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgely, MD

Sources for this page

Verify at the official NPI Registry.