Lisa Reichstein, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01615 Issued in RI

Practice address

208 Governor St
Providence, RI 02906-3246

Phone

(401) 651-8484

Fax

(401) 490-3569

NPI assigned

Oct 20, 2006

Last updated

Oct 23, 2008By the provider in NPPES

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 identifiers 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1902988660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063246",
            "telephone_number": "401-651-8484",
            "fax_number": "401-490-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063246",
            "telephone_number": "401-651-8484",
            "fax_number": "401-490-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHSTEIN",
        "first_name": "LISA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "413209",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jameson Rego Rego
• Joshua David Rego, DC
• Stacie Rego, PT
• Rahiya Binte Rehman, M.D.
• Mara Reichenberg, LICSW
• Cerena Reid-Maynard, LCSW
• Emma Margaret Reid, LCSW
• Indira Bela Reid, AGACNP
• Lisa Reidsema, LMHC/MHC/LPC
• Ilya Reikhrud, CRNA

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.