Individual provider Active NPI

Reyna Castellano

  • Social Worker
  • North Little Rock, AR
National Provider Identifier
1790058022
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1 Riverfront PL Ste 750
North Little Rock, AR 72114-5651
Phone
(501) 223-8414
Fax
(501) 223-8538
NPI assigned
Feb 16, 2012
Last updated
Feb 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X AR Primary

Addresses

Primary practice location

1 Riverfront PL Ste 750
North Little Rock, AR 72114-5651

Mailing address

1 Riverfront PL Ste 750
North Little Rock, AR 72114-5651
Phone (501) 223-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130003173 NM Practitioner - Clinical Social Worker 1658729603 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cibola General Hospital Corporation CurrentSince Oct 14, 2023 Accepting new patients

Locations

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1790058022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERFRONT PL STE 750",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145651",
            "telephone_number": "501-223-8414",
            "fax_number": "501-223-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERFRONT PL STE 750",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145651",
            "telephone_number": "501-223-8414",
            "fax_number": "501-223-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "REYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.