Individual provider Active NPI

Isabel Angelina Reid, LCSW

  • Clinical Social Worker
  • Wheaton, IL
National Provider Identifier
1932054210
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150-114262 Issued in IL
Practice address
433 S Carlton Ave
Wheaton, IL 60187-4872
Phone
(630) 871-8387
Fax
(630) 653-6748
NPI assigned
Mar 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 150-114262 IL Primary

Addresses

Primary practice location

433 S Carlton Ave
Wheaton, IL 60187-4872

Mailing address

4315 Peachtree Dr
PO Box 1537
Myrtle Beach, SC 29588-8914
Phone (804) 388-3507

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
150-114262ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Shelter for Homeless Veterans Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1932054210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 PEACHTREE DR",
            "address_2": "PO BOX 1537",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295888914",
            "telephone_number": "804-388-3507",
            "fax_number": "855-950-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S CARLTON AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874872",
            "telephone_number": "630-871-8387",
            "fax_number": "630-653-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ISABEL",
        "middle_name": "ANGELINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150-114262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.