Organization Active NPI

Reaware Licensed Clinical Social Work Prof Corp

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1821744996
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REAWARE LICENSED CLINICAL SOCIAL WORK PROF CORP
Practice address
8885 Rio San Diego Dr Ste 237
San Diego, CA 92108-1661
Phone
(858) 208-0432
NPI assigned
Feb 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Anne BarberNPI 1093188484
Title
President
Phone
(858) 208-0432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8885 Rio San Diego Dr Ste 237
San Diego, CA 92108-1661

Mailing address

8885 Rio San Diego Dr Ste 237
San Diego, CA 92108-1661
Phone (858) 208-0432

National Provider Directory

National Provider Directory

Locations

8885 Rio San Diego Dr
Ste 237
San Diego, CA 92108
Phone (619) 363-1921

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1821744996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 237",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081661",
            "telephone_number": "858-208-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 237",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081661",
            "telephone_number": "858-208-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAWARE LICENSED CLINICAL SOCIAL WORK PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-208-0432"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.