Active NPI
Jane Ellen Reid, MSW, PH.D.
- Clinical Social Worker
- Champaign, IL
National Provider Identifier
1982852711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149010040
- Practice address
- 116 N Chestnut St
Suite 214
Champaign, IL 61820-4037 - Phone
- (217) 398-0113
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149010040 | IL | Primary |
Addresses
Primary practice location
116 N Chestnut St
Suite 214
Champaign, IL 61820-4037
Mailing address
116 N Chestnut St
Suite 214
Champaign, IL 61820-4037
Phone (217) 398-0113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Aug 24, 2017 through Aug 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149010040 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1982852711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N CHESTNUT ST",
"address_2": "SUITE 214",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618204037",
"telephone_number": "217-398-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N CHESTNUT ST",
"address_2": "SUITE 214",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618204037",
"telephone_number": "217-398-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "JANE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "MSW, PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149010040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.