Bernadette Reyes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

93733 Issued in CA

Practice address

18039 Crenshaw Blvd Ste 308
Torrance, CA 90504-5149

Phone

(657) 238-8097

NPI assigned

Sep 19, 2016

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1609324763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18039 CRENSHAW BLVD STE 308",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045149",
            "telephone_number": "657-238-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18039 CRENSHAW BLVD STE 308",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045149",
            "telephone_number": "657-238-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "BERNADETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2023-06-26",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "73644",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rey, STEPHANIE
• Juana Reyes Andrade
• Brenda Reyes Guevara
• Ana Reyes Vaquiz
• Angela Reyes
• Carlo Bajado Reyes, DPT
• Claudia Cecilia Reyes
• Geovanna Reyes
• Javin Nathaniel Panganiban Reyes
• Josefina Reyes

• Clinical Social Worker in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.