Camille Reyes, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105610-1 Issued in NY

Practice address

180 Broadway
Hicksville, NY 11801-4230

Phone

(516) 935-6858

NPI assigned

Nov 4, 2014

Last updated

Feb 17, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Adams County Public Hospital District 2

  dba East Adams Rural Healthcare

  • Critical Access Hospital
  • Ritzville, WA
  • NPI 1992729461
  NPD
• Garfield County Memorial Hospital District

  dba Memory Manor

  • Skilled Nursing Facility
  • Pomeroy, WA
  • NPI 1023119500
  NPD
• Garfield County Memorial Hospital District

  • Rural Health Clinic/Center
  • Pomeroy, WA
  • NPI 1114028693
  NPD
• Garfield County Memorial Hospital District

  dba Garfield County Public Hospital District 1

  • Critical Access Hospital
  • Pomeroy, WA
  • NPI 1255429957
  NPD
• Grays Harbor County Public Hospital District No 1

  dba Summit Pacific Health Clinic

  • Rural Health Clinic/Center
  • Elma, WA
  • NPI 1083202907
  NPD
• Grays Harbor County Public Hospital District No 1

  dba Summit Pacific Medical Center

  • Critical Access Hospital
  • Elma, WA
  • NPI 1740211028
  NPD
• Grays Harbor County Public Hospital District No. 1

  dba Summit Pacific Wellness Clinic

  • Rural Health Clinic/Center
  • Elma, WA
  • NPI 1811025216
  NPD
• Dragonfly Counseling PLLC

  • Clinical Social Worker
  • Clarkston, WA
  • NPI 1730607854
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1851796783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014230",
            "telephone_number": "516-935-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014230",
            "telephone_number": "516-935-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CAMILLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61127648",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105610-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Reisman, MD
• Remedial Primary Medical Care, PC
• Renee L Okoye (Dove Rehabilitation Services)
• Respiratory Care Group, Inc.
• Retina Group of New York
• Jazmin Reyes
• Chang Ha James Rhee, DDS
• Miriam Riaz, D.O.
• Julia Maria Ribaudo
• Richard S. Obedian MD PLLC

• Social Worker in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.