NPIMap

Individual provider Active NPI

Tamara Reyes, ASW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1427526755
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109822 Issued in CA
Practice address
250 Executive Park Blvd Ste 4900
San Francisco, CA 94134-3335
Phone
(415) 656-0116
Fax
(415) 656-0117
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ASW76899 CA
Clinical Social Worker 1041C0700X ASW76899 CA
Student in an Organized Health Care Education/Training Program 390200000X ACSW76899 CA
Clinical Social Worker 1041C0700X 109822 CA Primary

Addresses

Primary practice location

250 Executive Park Blvd Ste 4900
San Francisco, CA 94134-3335

Mailing address

250 Executive Park Blvd Ste 4900
San Francisco, CA 94134-3335
Phone (415) 656-0116

Other practice location 1

401 Roland Way Ste 100
Oakland, CA 94621-2034
Phone (415) 656-0116

Other identifiers 1

IdentifierTypeStateIssuer
1427526755MedicaidCA

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

LicenseStateTypeSpecialty
ASW76899CAMDCounselor
ACSW76899CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Family Services, Inc. Past Accepting new patients
Alternative Family Services, Inc Past Accepting new patients
Alternative Family Services, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1427526755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EXECUTIVE PARK BLVD STE 4900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343335",
            "telephone_number": "415-656-0116",
            "fax_number": "415-656-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EXECUTIVE PARK BLVD STE 4900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343335",
            "telephone_number": "415-656-0116",
            "fax_number": "415-656-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Roland Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946212034",
            "country_code": "US",
            "telephone_number": "415-656-0116",
            "fax_number": "415-656-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "TAMARA",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "ASW76899",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW76899",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "ACSW76899",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427526755",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.