Heather Reis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000123931 Issued in MA

Practice address

401 Stockbridge Rd
Great Barrington, MA 01230-1972

Phone

(413) 347-9103

NPI assigned

Feb 16, 2020

Last updated

Sep 13, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• H Naomi Inc

  • Clinical Social Worker
  • Great Barrington, MA
  • NPI 1336966217
  NPD Authorized official

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1942833157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "HOUSATONIC",
            "state": "MA",
            "postal_code": "012360250",
            "telephone_number": "413-329-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 STOCKBRIDGE RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301972",
            "telephone_number": "413-347-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "HEATHER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-16",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000123931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "halston.therapy@gmail.com",
            "affiliation": "N",
            "address_1": "401 Stockbridge Rd",
            "city": "Great Barrington",
            "state": "MA",
            "country_code": "US",
            "postal_code": "012301972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Price Chopper Operating Co of Mass Inc (Price Chopper Pharmacy)
• Maureen Pryjma, LICSW
• Bridget Quinndicarlo, PTA
• Jose Mauricio Quizhpi
• Eleanor Ragone, DO
• Rite Aid
• Julie Robbins, MS
• Claire Rosenberg, LICSW
• Allison Rotenberg
• Jennifer G Rubino, DNP, FNP-BC

• Clinical Social Worker in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.