Evangelina Reina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27539 Issued in CA

Practice address

5479 E Abbeyfield St Ste 3
Long Beach, CA 90815-3050

Phone

(562) 498-5900

Fax

(562) 498-5909

NPI assigned

May 15, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Abbeyfield Psychotherapy Inc

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1356613210
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1275023293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 E ABBEYFIELD ST STE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153050",
            "telephone_number": "562-498-5900",
            "fax_number": "562-498-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 E ABBEYFIELD ST STE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153050",
            "telephone_number": "562-498-5900",
            "fax_number": "562-498-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINA",
        "first_name": "EVANGELINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Reid, D.O.
• Nicholas Donald Reiff, D.C.
• Corazon C. Reighard, RNFA
• Kelly L Reilly Gardner, COTA/L
• Angela Reilly
• John Reinard
• Rebecca Reindl
• David John Reinhardt, PH.D.
• Sacha L Reis, RN
• Reisha Golden CCC-SLP (Center for Therapy: Speech-Language-Pathology)

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.