Lisa Diane Reinbold, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC10368 Issued in ME

Practice address

143 Pottle Rd
Oxford, ME 04270-3362

Phone

(207) 743-0171

Fax

(207) 743-6959

NPI assigned

Dec 26, 2007

Last updated

Sep 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1972787034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 POTTLE RD",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042703362",
            "telephone_number": "207-743-0171",
            "fax_number": "207-743-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 POTTLE RD",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042703362",
            "telephone_number": "207-743-0171",
            "fax_number": "207-743-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINBOLD",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432646799",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LC10368",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Centers)
• Laura Penley-Beaudoin, LMSW-CC
• David John Preble
• Sue Proctor
• Rebecca Patrick
• Arlen C Riis, APRN,CC
• Wayne Robichaud
• Gemma Rogers
• Kirsten Rose
• Patricia Sue Salvatore, CADC

• Clinical Social Worker in Oxford, ME
• Providers in Oxford, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.