LISA M REARDON (LCSW) – Clinical Social Worker, NPI 1306085485

LISA M REARDON (LCSW) is a healthcare provider. based in Putnam, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 005275 (CT). The NPI Number for LISA M REARDON (LCSW) is 1306085485

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LISA M REARDON (LCSW)
NPI
1306085485
Phone
(860) 928-6541
Address
320 POMFRET ST
Enumeration Date
12 February 2009
Last Update Date
12 February 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8609286541
Graduation Year
1999 (27 years ago)
PAC ID
9335297274
Group Practice PAC ID
5092773549
Professional Enrollment ID
I20090501000328
Address ID
CT062601836PU320XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for LISA M REARDON (LCSW)

  • Day Kimball Hospital, 320, Pomfret Street, Putnam, Windham County, Connecticut, 06260, United States

    PUTNAM, CT 062601836

    Phone: (860) 928-6541

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090501000328IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes28251$0
90832Psychotherapy, 30 minutes3914$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 06260)

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Provider's Procedures

LISA M REARDON (LCSW) performs procedures in CLINICAL SOCIAL WORKER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CLINICAL SOCIAL WORKERCT90853Group psychotherapy5211

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092773549View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Mental Health CounselorCT
-CT
Mental Health CounselorCT
Psychiatry, NeuropsychiatryCT
Clinical Social WorkerCT
Medical Oncology, Hematology/OncologyRI
-CT
Psychiatry, Geriatric PsychiatryCT
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant CardiologyCT

Reviews

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Frequently asked questions

What federal number belongs to LISA M REARDON (LCSW)?
The federal identifier for LISA M REARDON (LCSW) is NPI 1306085485.
Is LISA M REARDON (LCSW)'s NPI currently valid?
The extract we use shows LISA M REARDON (LCSW) as active.
What field does LISA M REARDON (LCSW) work in?
You can think of LISA M REARDON (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for LISA M REARDON (LCSW)?
We surface Putnam, Connecticut for LISA M REARDON (LCSW) based on available NPPES addresses.
How can I contact LISA M REARDON (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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