Active NPI
Guadalupe Reyes-Garcia, LCSW
- Clinical Social Worker
- Shafter, CA
National Provider Identifier
1134539919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 91218
- Practice address
- 455 Kern St Ste D
Shafter, CA 93263-2257 - Phone
- (661) 865-6575
- NPI assigned
- May 2, 2014
- Last updated
- Feb 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 91218 | CA | Primary |
| Clinical Social Worker | 1041C0700X | ASW 63236 | CA |
Addresses
Primary practice location
455 Kern St Ste D
Shafter, CA 93263-2257
Mailing address
560 Butte CT
Shafter, CA 93263-9635
Other names 1
- Lupita Garcia
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 |
|---|---|---|---|
| 91218 | CA | MD | Clinical Social Worker |
| ASW 63236 | CA | MD | Clinical Social Worker |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1134539919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 BUTTE CT",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932639635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 KERN ST STE D",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932632257",
"telephone_number": "661-865-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES-GARCIA",
"first_name": "GUADALUPE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-02",
"last_updated": "2022-02-04",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "91218",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 63236",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUPITA",
"last_name": "GARCIA",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shafter, CA
- Alain Phan
- Jose Andres Pineda
- Priti Patel Inc (Truxtun Pharmacy Shafter)
- Rudy Angel Ramirez
- Reedley Community Hospital (Adventist Health Reedley - Shafter)
- Richland Union Elementary School District
- Iliana Rivera, NP
- Robert W. Hagen M.D. Inc.
- Monica Rodriguez, APRN NP-C, PHN, RN
- Sonia Yolanda Rodriguez, M.S., PPS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.