Active NPI
Jorge E. Reyes, LCSW
- Clinical Social Worker
- Santa Clarita, CA
National Provider Identifier
1316018054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27150
- Practice address
- 23550 Lyons Ave
Suite 211
Santa Clarita, CA 91321-2520 - Phone
- (661) 360-6792
- Fax
- (661) 430-5414
- NPI assigned
- Nov 13, 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 | 27150 | CA | Primary |
Addresses
Primary practice location
23550 Lyons Ave
Suite 211
Santa Clarita, CA 91321-2520
Mailing address
28340 Berylwood PL
Valencia, CA 91354-1515
Phone (213) 458-1459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150325001594 | CA | Practitioner - Clinical Social Worker | 7214254663 | Practice locations: Newhall, CA; Newhill, CA; Palmdale, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27150 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725148800000",
"number": "1316018054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28340 BERYLWOOD PL",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913541515",
"telephone_number": "213-458-1459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23550 LYONS AVE",
"address_2": "SUITE 211",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212520",
"telephone_number": "661-360-6792",
"fax_number": "661-430-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JORGE",
"middle_name": "E.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2024-09-01",
"certification_date": "2024-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.