Reynaldo Tomas Palacio

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014360 Issued in PA

Legal business name

REYNALDO TOMAS PALACIO

Practice address

3302 Tilden St
Philadelphia, PA 19129-1412

Phone

(215) 913-0870

Fax

(215) 703-5367

NPI assigned

Oct 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Reynaldo Tomas Palacio, LCSW,CCBT

Title

Clinical/Behavial-Psychotherapist

Phone

(215) 913-0870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1285062778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 TILDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291412",
            "telephone_number": "215-913-0870",
            "fax_number": "215-703-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 TILDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291412",
            "telephone_number": "215-913-0870",
            "fax_number": "215-703-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDO TOMAS PALACIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "PALACIO",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "TOMAS",
        "authorized_official_title_or_position": "CLINICAL/BEHAVIAL-PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "215-913-0870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW,CCBT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Reyes
• Raymond Paul Reyes, PA-C
• Sharita Reyes
• Dorrin Reyhani
• Kara L Reymann, CRNP
• Michael Reynaltti, CRNA
• Reynold a. Panettieri. M.D.P.C.
• Artia Reynolds
• Caitlin Leigh Reynolds
• Carl R Reynolds, MD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.