Active NPI
Stephanie Reyes Meza
- Social Worker
- Fresno, CA
National Provider Identifier
1780569558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 136505
- Practice address
- 3433 W Shaw Ave # 107
Fresno, CA 93711-3229 - Phone
- (559) 374-3990
- NPI assigned
- Aug 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Day Training/Habilitation Specialist | 373H00000X | CA | ||
| Social Worker | 104100000X | 136505 | CA | Primary |
Addresses
Primary practice location
3433 W Shaw Ave # 107
Fresno, CA 93711-3229
Mailing address
3433 W Shaw Ave # 107
Fresno, CA 93711-3229
Phone (559) 374-3990
Other practice location 1
10535 Road 35
Madera, CA 93636-8487
Phone (559) 514-0135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136505 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Teen Ranch | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Madera, CA
- NPI 1295191260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1780569558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 W SHAW AVE # 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113229",
"telephone_number": "559-374-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3433 W SHAW AVE # 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113229",
"telephone_number": "559-374-3990"
}
],
"practiceLocations": [
{
"address_1": "10535 Road 35",
"address_purpose": "LOCATION",
"city": "Madera",
"state": "CA",
"postal_code": "936368487",
"country_code": "US",
"telephone_number": "559-514-0135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES MEZA",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-09",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "136505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.