Active NPI
Sally Rose Reach, LCSW
- Social Worker
- Albany, NY
National Provider Identifier
1861751208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72 085591
- Practice address
- 900 Watervliet Shaker Rd
Albany, NY 12205-1002 - Phone
- (518) 464-6319
- NPI assigned
- May 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 72 085591 | NY | Primary |
Addresses
Primary practice location
900 Watervliet Shaker Rd
Albany, NY 12205-1002
Mailing address
2 Loren Ave
Albany, NY 12203-4919
Phone (167) 432-1823
Other practice location 1
530 Franklin St
2nd Floor
Schenectady, NY 12305-2011
Phone (518) 381-8911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051104000053 | Other | NY | FIDELIS |
| 02664359 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72 085591 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Parent and Child Society, Inc. | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Social Worker
- Schenectady, NY
- NPI 1003901695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1861751208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LOREN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122034919",
"telephone_number": "167-432-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WATERVLIET SHAKER RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051002",
"telephone_number": "518-464-6319"
}
],
"practiceLocations": [
{
"address_1": "530 Franklin St",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123052011",
"country_code": "US",
"telephone_number": "518-381-8911",
"fax_number": "518-377-4292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REACH",
"first_name": "SALLY",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-04",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72 085591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "051104000053",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02664359",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.