Individual provider Active NPI

Precious Reed, LISW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1881393767
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2204016 Issued in OH
Practice address
26300 Chagrin Blvd Ste 1150
Beachwood, OH 44122-4213
Phone
(216) 200-5433
Fax
(888) 740-9968
NPI assigned
Feb 28, 2023
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 I.2204016 OH Primary

Addresses

Primary practice location

26300 Chagrin Blvd Ste 1150
Beachwood, OH 44122-4213

Mailing address

1496 Edgefield Rd
Lyndhurst, OH 44124-2845

Other identifiers 1

IdentifierTypeStateIssuer
I.2204016OtherOHOHIO LICENSE

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

LicenseStateTypeSpecialty
I.2204016OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Peace LLC Clinical Current Accepting new patients
Rebirth Counseling and Therapy Services LLC Past Accepting new patients

Locations

26300 Cedar Rd
Ste 1105
Beachwood, OH 44122
Phone (216) 200-5433

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, 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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1881393767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 EDGEFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 CHAGRIN BLVD STE 1150",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224213",
            "telephone_number": "216-200-5433",
            "fax_number": "888-740-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "PRECIOUS",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "I.2204016",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.