Grace Raeann Reinke, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61607638 Issued in WA

Practice address

111 Adams Dr
Kelso, WA 98626-1868

Phone

(360) 846-7493

NPI assigned

Nov 18, 2024

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

Other names 1

• Grace Parcel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1861217598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986327041",
            "telephone_number": "360-846-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ADAMS DR",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261868",
            "telephone_number": "360-846-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "GRACE",
        "middle_name": "RAEANN",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61607638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "PARCEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Kelso, WA
• Providers in Kelso, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.