Active NPI
Alejandro Alfredo Reyes, LCSW78802
- Clinical Social Worker
- Indio, CA
National Provider Identifier
1306901152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW78802
- Practice address
- 46900 Monroe St Ste 101
Indio, CA 92201-4828 - Phone
- (760) 863-7219
- Fax
- (760) 863-8777
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW78802 | CA | Primary |
Addresses
Primary practice location
46900 Monroe St Ste 101
Indio, CA 92201-4828
Mailing address
44199 Monroe St Ste C
Indio, CA 92201-3094
Phone (760) 863-2578
Other practice location 1
73929 Larrea Street Suite 1B
Palm Desert, CA 92260-6950
Phone (760) 883-0953
Other practice location 2
47915 Oasis St
Indio, CA 92201
Phone (760) 863-8555 ext. 38555
Other names 1
- Alejandro Alfredo Reyes
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 |
|---|---|---|---|
| LCSW78802 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1306901152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44199 MONROE ST STE C",
"city": "INDIO",
"state": "CA",
"postal_code": "922013094",
"telephone_number": "760-863-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46900 MONROE ST STE 101",
"city": "INDIO",
"state": "CA",
"postal_code": "922014828",
"telephone_number": "760-863-7219",
"fax_number": "760-863-8777"
}
],
"practiceLocations": [
{
"address_1": "73929 Larrea Street Suite 1B",
"address_purpose": "LOCATION",
"city": "Palm Desert",
"state": "CA",
"postal_code": "922606950",
"country_code": "US",
"telephone_number": "760-883-0953",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "47915 Oasis St",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "92201",
"country_code": "US",
"telephone_number": "760-863-8555 x38555",
"fax_number": "760-393-3215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "ALEJANDRO",
"middle_name": "ALFREDO",
"credential": "LCSW78802",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW78802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEJANDRO",
"last_name": "REYES",
"middle_name": "ALFREDO",
"credential": "LCSW78802",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.