Active NPI
Adilenne Reveles
- Social Worker
- Tacoma, WA
National Provider Identifier
1235608134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC61242725
- Practice address
- 6424 N 9TH St
Tacoma, WA 98406-2091 - Phone
- (253) 565-4484
- NPI assigned
- Nov 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC61242725 | WA | Primary |
Addresses
Primary practice location
6424 N 9TH St
Tacoma, WA 98406-2091
Mailing address
3911 N 25TH St Apt 521
Tacoma, WA 98406-5339
Phone (253) 353-9634
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 |
|---|---|---|---|
| SC61242725 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopesparks | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1235608134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 N 25TH ST APT 521",
"city": "TACOMA",
"state": "WA",
"postal_code": "984065339",
"telephone_number": "253-353-9634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6424 N 9TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062091",
"telephone_number": "253-565-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVELES",
"first_name": "ADILENNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61242725",
"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 Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.