Active NPI
Nancy Michelle Reyes, MSW, LCIASW
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1104401637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61596142
- Practice address
- 7015 S D St Apt 4-107
Tacoma, WA 98408-6137 - Phone
- (253) 200-1429
- NPI assigned
- Mar 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | 61596142 | WA | Primary |
Addresses
Primary practice location
7015 S D St Apt 4-107
Tacoma, WA 98408-6137
Mailing address
7015 S D St Apt 4-107
Tacoma, WA 98408-6137
Phone (415) 404-0043
Other practice location 1
325 E Pioneer
Puyallup, WA 98372-3265
Phone (888) 910-6300
Other practice location 2
245 11th St
San Francisco, CA 94103-3732
Phone (415) 581-0449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61596142 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1104401637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 S D ST APT 4-107",
"city": "TACOMA",
"state": "WA",
"postal_code": "984086137",
"telephone_number": "415-404-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 S D ST APT 4-107",
"city": "TACOMA",
"state": "WA",
"postal_code": "984086137",
"telephone_number": "253-200-1429"
}
],
"practiceLocations": [
{
"address_1": "325 E Pioneer",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983723265",
"country_code": "US",
"telephone_number": "888-910-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 11th St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941033732",
"country_code": "US",
"telephone_number": "415-581-0449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "NANCY",
"middle_name": "MICHELLE",
"credential": "MSW, LCIASW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "61596142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.