Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

John Reilly, LICSW

Clinical Social Worker in Minneapolis, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578661419

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Registry record

Entity type Individual (Type 1)

Name John Reilly

Credential LICSW

Sex Male

Practice address 4123 E Lake St, Minneapolis, MN, 55406

Phone (612) 728-2061

Enumeration date Sep 21, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 788 (MN) Primary

Other identifiers

Identifier	Type	State	Issuer
354557100	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is John Reilly?

John Reilly is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.