Johanna Reedy

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.112875 Issued in IL

Practice address

579 W North Ave Ste 206
Elmhurst, IL 60126-2144

Phone

(630) 384-9499

NPI assigned

Dec 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Patchwork Therapy, PLLC

  • Clinical Social Worker
  • Elmhurst, IL
  • NPI 1821673237
  NPD

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1801664677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 W NORTH AVE STE 206",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262144",
            "telephone_number": "630-384-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 W NORTH AVE STE 206",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262144",
            "telephone_number": "630-384-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.112875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reardon Family Dental
• Brian Reardon, DDS
• Kevin G Reardon, DDS
• Patrick William Reardon, DDS
• Darrin Michael Redinger, D.C.
• Christina Rees
• Christopher Lee Reglen, MD
• Rehab Medical LLC
• Rehabit Concierge Physical Therapy
• Rehabtech Supply, LLC

• All providers in Elmhurst, IL
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.