Carissa Reyes, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11782053-3502 Issued in UT

Practice address

11618 S State St Ste 1604
Draper, UT 84020-7123

Phone

(385) 202-5645

NPI assigned

Jun 23, 2020

Last updated

Sep 29, 2020By the provider in NPPES

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

Other names 1

• Carissa Reyes Delahunty Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inner Peace Counseling of Utah

  dba Inner Peace

  • Clinical Social Worker
  • Draper, UT
  • NPI 1073157251
  NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1730705955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 S STATE ST STE 1604",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 S STATE ST STE 1604",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207123",
            "telephone_number": "385-202-5645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1972 W 5400 S",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841291459",
            "country_code": "US",
            "telephone_number": "801-823-2628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "369 E Braidhill Dr",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840205572",
            "country_code": "US",
            "telephone_number": "801-425-8837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "CARISSA",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11782053-3502",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11782053-3502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "DELAHUNTY",
            "middle_name": "REYES",
            "credential": "CSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jordan R Rentmeister, DNP/FNP
• Lorelei Rentmeister
• Resilient Roots Counseling, LLC
• Return to Harmony LLC
• Kaile Rex
• Kimberly N Reyes
• Emaline Reyman
• David Nephi Reynolds, D.D.S.
• Gregory Shaun Reynolds, D.C.
• Kelsie Reynolds

• Social Worker in Draper, UT
• Providers in Draper, UT by specialty
• Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.