Individual provider Active NPI

Cheryl Lynn Reiner, LCSW

  • Clinical Social Worker
  • Sandy Hook, CT
National Provider Identifier
1952648925
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8164 Issued in CT
Practice address
15 Berkshire Rd
Sandy Hook, CT 06482-1361
Phone
(203) 426-8103
Fax
(203) 270-4338
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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 8164 CT Primary

Addresses

Primary practice location

15 Berkshire Rd
Sandy Hook, CT 06482-1361

Mailing address

15 Berkshire Rd
Sandy Hook, CT 06482-1361
Phone (203) 426-8103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20140623002460 CT Practitioner - Clinical Social Worker 5799909206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8164CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hills Youth and Family Services Inc. CurrentSince Nov 27, 2020 Accepting new patients
Interface Center Inc Clinical PastSince Jul 1, 2015 Accepting new patients
Western Connecticut Center for Neurofeedback and Counseling, LLC PastSince Aug 1, 2018 Accepting new patients

Locations

36 Main St
New Milford, CT 06776
Phone (203) 415-8066

20 Main St
#8
Oakville, CT 06779
Phone (203) 415-8066

Interoperability endpoints

  • Direct secure messaging: cheryl.reiner@chcict.eclinicaldirectplus.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": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1952648925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BERKSHIRE RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821361",
            "telephone_number": "203-426-8103",
            "fax_number": "203-270-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BERKSHIRE RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821361",
            "telephone_number": "203-426-8103",
            "fax_number": "203-270-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINER",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

Verify at the official NPI Registry.