Eddie Reyna, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

03-240670-00-3 Issued in NM

Practice address

1932 Bentley Dr
Las Cruces, NM 88001-4514

Phone

(575) 640-8467

NPI assigned

Mar 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1689940488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 BENTLEY DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014514",
            "telephone_number": "575-640-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 BENTLEY DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014514",
            "telephone_number": "575-640-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "EDDIE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "03-240670-00-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Galy Reyes, D.O.
• Teresa Correa Reyes, M.D.
• Victoria Reyes, CPSW
• Xytlalli Jesenia Reyes
• Yvette Reyes, CASE MANAGER
• Melissa Reyna, APRN, AGNP-C
• John Henry Reynolds, MD
• Lizabeth Reynolds, M.D.
• Camila Lili Reynoso
• Claudia Sofia Reynoso

• Clinical Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.