Active NPI
Reia Margaret Henley, LICSW
- Clinical Social Worker
- Upper Marlboro, MD
National Provider Identifier
1811026735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50078612
- Practice address
- 1300 Mercantile Lane
Suite #129-54
Upper Marlboro, MD 20774 - Phone
- (240) 360-0885
- NPI assigned
- Mar 5, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14960 | MD | |
| Clinical Social Worker | 1041C0700X | 0904012618 | VA | |
| Clinical Social Worker | 1041C0700X | LC50078612 | DC | Primary |
Addresses
Primary practice location
1300 Mercantile Lane
Suite #129-54
Upper Marlboro, MD 20774
Mailing address
1300 Mercantile LN Ste 129-54
Upper Marlboro, MD 20774-5327
Phone (240) 360-0885
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC50078612 | DC | MD | Clinical Social Worker |
| 0904012618 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Matters of Greater Washington | Past | Accepting new patients | |
| Family Matters of Greater Washingto | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Oxon Hill, MD
- NPI 1457736555
-
- Case Management Agency
- Washington, DC
- NPI 1376996082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1811026735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LN STE 129-54",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745327",
"telephone_number": "240-360-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LANE",
"address_2": "SUITE #129-54",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "20774",
"telephone_number": "240-360-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENLEY",
"first_name": "REIA",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2023-03-20",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "14960",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012618",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50078612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.