Reyna Imelda Donate, LCSW

Individual provider Active NPI Clinical Social Worker · Dinuba, CA

NPI 1154516847 · NPPES record last updated Mar 18, 2020

Key facts

NPI
1154516847
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
66165 (CA)
Practice address
144 S. L Street
Dinuba, CA 93618-3205
Phone
(559) 591-6680
Fax
(559) 591-6684
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
66165CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66165 CA Yes

Addresses

Primary practice location

144 S. L Street
Dinuba, CA 93618-3205

Mailing address

144 S. L Street
Dinuba, CA 93618-3205
Phone (559) 591-6680

Other providers in Dinuba, CA

All providers in Dinuba, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.