Active NPI
Dana Lynn Reaves, LCSW-C
- School Social Worker
- Street, MD
National Provider Identifier
1992261846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 08279
- Practice address
- 2700 Wilson Rd
Street, MD 21154-1711 - Phone
- (410) 935-1674
- NPI assigned
- Feb 15, 2019
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 08279 | MD | Primary |
Addresses
Primary practice location
2700 Wilson Rd
Street, MD 21154-1711
Mailing address
2700 Wilson Rd
Street, MD 21154-1711
Phone (410) 935-1674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08279 | MD | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1992261846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WILSON RD",
"city": "STREET",
"state": "MD",
"postal_code": "211541711",
"telephone_number": "410-935-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WILSON RD",
"city": "STREET",
"state": "MD",
"postal_code": "211541711",
"telephone_number": "410-935-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAVES",
"first_name": "DANA",
"middle_name": "LYNN",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-15",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MD",
"license": "08279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Street, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.