Mary Eliza Reilly, MSW
Social Worker, Clinical in Washington, DC. Individual provider (NPI-1).
NPI number1164014643
StatusActive
Last updated in NPPESFeb 6, 2021
Details
- NPI
- 1164014643
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Eliza Reilly
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2021
- Certification date
- Feb 6, 2021
- Last updated
- Feb 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC50082797 | DC | Yes |
Practice location
3020 Tilden St Nw Apt 504Washington, DC 20008-3081
Phone 202-255-5064
Mailing address
3020 Tilden St Nw Apt 504Washington, DC 20008-3081
Phone 202-255-5064
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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