MEDICARE: REALIGN AND RECLAMATION, LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1144188996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REALIGN AND RECLAMATION, LLC

Provider Business Mailing Address
First Line	:	PO BOX 289
Second Line	:
City	:	HAYWARD
State	:	WI
Zip	:	54843-0289
Country	:	US
Telephone Number	:	401-206-0593
Fax Number	:

Provider Business Practice Location Address
First Line	:	7861 N GRAND AVE
Second Line	:
City	:	HAYWARD
State	:	WI
Zip	:	54843-2059
Country	:	US
Telephone Number	:	401-206-0593
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LICENSED CLINICAL SOCIAL WORK
Name	:	SAVANNAH TAYLOR
Credential	:	LCSW
Telephone Number	:	401-206-0593

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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