Johanny Reyes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17531 Issued in FL

Practice address

5115 SW 155TH Ave
Miramar, FL 33027-5626

Phone

(305) 527-7214

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1205440971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 SW 30TH ST UNIT 278486",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277250",
            "telephone_number": "754-736-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 SW 155TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275626",
            "telephone_number": "305-527-7214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 SW 155th Ave",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330275626",
            "country_code": "US",
            "telephone_number": "754-736-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOHANNY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djohanny@hotmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "business",
            "address_1": "5115 SW 155th Ave",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330275626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Celia Debbie Revilla, OTR/L
• Rex Diagnostic and Imaging
• Juan Carlos Rey, M.D.
• Belkis Reyes Imbert
• Jocelyn Reyes
• Michaela Francesca Reyes
• William Reyes, LMHC, CAP
• Galina Reynaldo Bruzon
• Deborah Reynolds, MD
• Gabrielle Maureen Reynolds, NURSE PRACTITIONER

• Clinical Social Worker in Miramar, FL
• Providers in Miramar, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.