Rafael Reynoso Hinojosa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7699 Issued in OR

Practice address

565 Union St NE Ste 207
Salem, OR 97301-2418

Phone

(503) 630-3078

NPI assigned

Oct 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rafael Reynoso Other name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connecting Hope Counseling SVCS Inc

  • Clinical Social Worker
  • Salem, OR
  • NPI 1750925467

  Pastoral

  NPD Authorized official
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1437624400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MEADOW PARK LOOP NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051585",
            "telephone_number": "503-630-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 UNION ST NE STE 207",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012418",
            "telephone_number": "503-630-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO HINOJOSA",
        "first_name": "RAFAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7699",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500757435",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "REYNOSO",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reynolds Consoltation
• Annie M Reynolds, DNP
• Catherine Reynolds
• Riley Reynolds
• Samantha Reynoldson, BEHAVIOR TECHNICIAN
• Cassandra Jean Rhamy
• Leah Dee Rhoads, LCSW
• Elizabeth Anne Ribbeck, RN, CNM
• Alyssa Hope Rice
• Bjai A Rice, DO

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.

Verify at the official NPI Registry.