Individual provider Active NPI

Christina Reap, LMSW

  • Social Worker
  • Clinton, NY
National Provider Identifier
1871080812
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
103316-1 Issued in NY
Practice address
7540 Hilldale Dr
Clinton, NY 13323-3405
Phone
(315) 617-2277
NPI assigned
Apr 16, 2018
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103316-1 NY Primary

Addresses

Primary practice location

7540 Hilldale Dr
Clinton, NY 13323-3405

Mailing address

7540 Hilldale Dr
Clinton, NY 13323-3405
Phone (315) 617-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230814003350 NY Practitioner - Clinical Social Worker 9133581721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103316-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Potential Counseling LCSW PLLC CurrentSince Jun 14, 2023 Accepting new patients

Locations

320 Herkimer Rd
Utica, NY 13502
Phone (315) 520-0859

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1871080812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 HILLDALE DR",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233405",
            "telephone_number": "315-617-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 HILLDALE DR",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233405",
            "telephone_number": "315-617-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAP",
        "first_name": "CHRISTINA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103316-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

Verify at the official NPI Registry.