Individual provider Active NPI

Alissa Ann Reitz, MSW, LCSW

  • Clinical Social Worker
  • Belmont, NC
National Provider Identifier
1811220403
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006381 Issued in NC
Practice address
1165 McKee Farm LN
Belmont, NC 28012-8671
Phone
(704) 928-8266
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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 C006381 NC Primary

Addresses

Primary practice location

1165 McKee Farm LN
Belmont, NC 28012-8671

Mailing address

1165 McKee Farm LN
Belmont, NC 28012-8671
Phone (814) 880-9568

Other practice location 1

8312 Viewpoint Ln
Cornelius, NC 28031-8231
Phone (814) 880-9568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100914001110 NC Practitioner - Clinical Social Worker 6608991757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serendipity Therapy, PLLCGroup PAC ID 8022133164, 3 clinicians

Practice addresses (Care Compare)

1165 McKee Farm LN
Belmont, NC 28012-8671
Phone (704) 928-8266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Therapy, PLLC Current Accepting new patients
Serendipity Therapy, PLLC Clinical CurrentSince Jul 14, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1811220403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 MCKEE FARM LN",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280128671",
            "telephone_number": "814-880-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MCKEE FARM LN",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280128671",
            "telephone_number": "704-928-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8312 Viewpoint Ln",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280318231",
            "country_code": "US",
            "telephone_number": "814-880-9568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITZ",
        "first_name": "ALISSA",
        "middle_name": "ANN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.