Individual provider Active NPI

Kayla Dawn Reno, MSW INTERN

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1558043380
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWB-2024-1289 Issued in NM
Practice address
3736 Eubank Blvd NE Ste B1
Albuquerque, NM 87111-3583
Phone
(505) 293-2881
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2024-1289 NM Primary

Addresses

Primary practice location

3736 Eubank Blvd NE Ste B1
Albuquerque, NM 87111-3583

Mailing address

6119 Downey St NE
Albuquerque, NM 87109-2633
Phone (505) 480-3830

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
SWB-2024-1289NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affective Therapeutic Solutions, LLC CurrentSince Jan 19, 2025 Accepting new patients
Love Is Healing, LLC PastSince Aug 1, 2023 Accepting new patients

Locations

3736 Eubank Blvd NE
Ste B1
Albuquerque, NM 87111
Phone (505) 293-2881

Organizations & group practices 2

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1558043380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 DOWNEY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092633",
            "telephone_number": "505-480-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 EUBANK BLVD NE STE B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113583",
            "telephone_number": "505-293-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENO",
        "first_name": "KAYLA",
        "middle_name": "DAWN",
        "credential": "MSW INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2024-1289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.