Individual provider Active NPI

Leigh Reineke, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1962074427
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09929779 Issued in CO
Practice address
1945 Blue Yonder Way
Fort Collins, CO 80525-1974
Phone
(970) 889-1910
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 09929779 CO Primary

Addresses

Primary practice location

1945 Blue Yonder Way
Fort Collins, CO 80525-1974

Mailing address

1945 Blue Yonder Way
Fort Collins, CO 80525-1974
Phone (970) 889-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241104000811 CO Practitioner - Clinical Social Worker 2062944697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

343 W Drake Rd
Suite 230
Fort Collins, CO 80526-2880
Phone (970) 889-1910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09929779COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leigh Reineke Therapy, LLC Clinical CurrentSince Oct 11, 2024 Accepting new patients

Locations

343 W Drake Rd
Ste 230
Fort Collins, CO 80526
Phone (970) 889-1910

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1962074427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 BLUE YONDER WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251974",
            "telephone_number": "970-889-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 BLUE YONDER WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251974",
            "telephone_number": "970-889-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINEKE",
        "first_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09929779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.