Marilyn Reynoso, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

109158 Issued in NY

Practice address

429 E 148TH St
Bronx, NY 10455-4128

Phone

(718) 585-0600

NPI assigned

Apr 12, 2020

Sex

Female

Sole proprietor

Yes

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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1679192405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ELMWOOD TER APT B",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071764",
            "telephone_number": "646-398-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E 148TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554128",
            "telephone_number": "718-585-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "MARILYN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dahianna Reynoso, SPECIAL EDUCATION IN
• Dina Reynoso
• Diorkiris Reynoso, LCSW
• Florangel Evangelina Reynoso, RDH
• Kirsys Reynoso, MS ED.
• Nicole Esther Reynoso
• Priscilla M Reynoso, LMSW
• Sary Reynoso, LMHC
• Sheila Patricia Reynoso
• Yalissa Steffany Reynoso, MSED

• Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; 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.