Individual provider Active NPI

Reba Tyler Reusch, LICSW

  • Clinical Social Worker
  • Clinton, MA
National Provider Identifier
1891895512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1027535 Issued in MA
Practice address
70 High St
Suite 206
Clinton, MA 01510-2922
Phone
(978) 365-8000
Fax
(978) 365-7561
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1027535 MA Primary

Addresses

Primary practice location

70 High St
Suite 206
Clinton, MA 01510-2922

Mailing address

70 High St
Suite 206
Clinton, MA 01510-2922
Phone (978) 365-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051017001129 MA Practitioner - Clinical Social Worker 4981620176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

165 Mill St
Leominster, MA 01453-3289
Phone (978) 878-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Connections, Inc. CurrentSince Jul 4, 2016 Accepting new patients
Community Health Connections, Inc. CurrentSince Jul 4, 2016 Accepting new patients
Community Health Connections, Inc. Current Accepting new patients

Locations

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

Interoperability endpoints

  • Direct secure messaging: reba.reusch.p1@direct.chcfhc.nextgenshare.com

Organizations & group practices 3

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891895512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HIGH ST",
            "address_2": "SUITE 206",
            "city": "CLINTON",
            "state": "MA",
            "postal_code": "015102922",
            "telephone_number": "978-365-8000",
            "fax_number": "978-365-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HIGH ST",
            "address_2": "SUITE 206",
            "city": "CLINTON",
            "state": "MA",
            "postal_code": "015102922",
            "telephone_number": "978-365-8000",
            "fax_number": "978-365-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUSCH",
        "first_name": "REBA",
        "middle_name": "TYLER",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MA

Sources for this page

Verify at the official NPI Registry.