Eloy Valdemar Reyes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66385 Issued in TX

Practice address

6010 W Amarillo Blvd
Amarillo, TX 79106-1990

Phone

(806) 355-9703

NPI assigned

Oct 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1518508514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 SANTA FE TRL",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153429",
            "telephone_number": "806-626-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061990",
            "telephone_number": "806-355-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S Polk St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791013407",
            "country_code": "US",
            "telephone_number": "806-342-2528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "ELOY",
        "middle_name": "VALDEMAR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "66385",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Raquel Reta, COTA
• Timothy John Revell, MD
• Rex Fletcher Mdpa
• Beatriz Rey, CF-SLP
• Chriselda Reyes
• Karen Pascua Reyes, OT
• Rhonda Michelle Reyna-Crawford, COTA
• Sabrina Reyna, OT
• Alyssa Marie Reynolds, DPT
• Kimberly Reynolds, NNP

• Clinical Social Worker in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.