Soco Rey Therapy, a Licensed Clinical Social Worker Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOCO REY THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORP

Practice address

302 E Manchester Blvd # 203
Inglewood, CA 90301-1815

Phone

(323) 383-8586

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Socorro Mariza Reynoso, LCSW

Title

Owner

Phone

(323) 383-8586

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Talia Derogatis

  • Clinical Social Worker
  • Inglewood, CA
  • NPI 1801599774
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1700448453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E MANCHESTER BLVD # 203",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011815",
            "telephone_number": "323-383-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E MANCHESTER BLVD # 203",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011815",
            "telephone_number": "323-383-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCO REY THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "SOCORRO",
        "authorized_official_middle_name": "MARIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-383-8586",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Snow
• So Cal Integrated Medical Group
• So Cal Mental Health, P.C.
• Carina Megan So, OTR/L
• Mirian Antonia Soba
• Soheil Hekmat, MD, Inc. (Hillcrest Medical Clinic)
• Malaika Takasha Solomon
• Nancy Lan Some, NP
• Kavya Priya Somu
• Sang Ho Son, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.