Individual provider Active NPI

Trinh Thi Reyes, L.C.S.W

  • Clinical Social Worker
  • San Leandro, CA
National Provider Identifier
1801028642
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW64458 Issued in CA
Practice address
2500 Fairmont Dr
San Leandro, CA 94578-1005
Phone
(510) 667-3000
Fax
(510) 667-3001
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW64458 CA Primary

Addresses

Primary practice location

2500 Fairmont Dr
San Leandro, CA 94578-1005

Mailing address

2500 Fairmont Dr
San Leandro, CA 94578-1005
Phone (510) 667-3000

Other practice location 1

3900 Newpark Mall Ste 209
Newark, CA 94560-5241
Phone (510) 793-9255

Other practice location 2

2060 Fairmont Dr
San Leandro, CA 94578-1001
Phone (510) 346-7500

Other names 1

  • Trinh Thi Ho Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230801004107 CA Practitioner - Clinical Social Worker 3870954258 Reassigns benefits to 1 organization
Practice locations: San Leandro, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW64458CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Aug 12, 2023 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1801028642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FAIRMONT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781005",
            "telephone_number": "510-667-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FAIRMONT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781005",
            "telephone_number": "510-667-3000",
            "fax_number": "510-667-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Newpark Mall Ste 209",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "CA",
            "postal_code": "945605241",
            "country_code": "US",
            "telephone_number": "510-793-9255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Fairmont Dr",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945781001",
            "country_code": "US",
            "telephone_number": "510-346-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "TRINH",
        "middle_name": "THI",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW64458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRINH",
            "last_name": "HO",
            "middle_name": "THI",
            "credential": "L.C.S.W",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.