MEDICARE: REIGNING PEARLS ORGANIZATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1124994009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REIGNING PEARLS ORGANIZATION

Provider Business Mailing Address
First Line	:	8723 S JUSTINE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-4842
Country	:	US
Telephone Number	:	773-600-4445
Fax Number	:

Provider Business Practice Location Address
First Line	:	8723 S JUSTINE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-4842
Country	:	US
Telephone Number	:	773-600-4445
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. SHERESE YVETTE REED
Credential	:	L.S.W.
Telephone Number	:	773-600-4445

Provider Enumeration Date	:	10/16/2025
Last Update Date	:	10/23/2025

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Directions to “REIGNING PEARLS ORGANIZATION ” Practice Location

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