Danielle Malka Reisbaum

Primary specialty

Social WorkerTaxonomy code 104100000X

License

115651 Issued in CA

Practice address

3200 Adeline St
Berkeley, CA 94703-2407

Phone

(510) 601-0203

NPI assigned

Jan 9, 2022

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1902567142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032407",
            "telephone_number": "510-601-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032407",
            "telephone_number": "510-601-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23410 Civic Center Way Ste E-4A",
            "address_purpose": "LOCATION",
            "city": "Malibu",
            "state": "CA",
            "postal_code": "902655909",
            "country_code": "US",
            "telephone_number": "310-448-1413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISBAUM",
        "first_name": "DANIELLE",
        "middle_name": "MALKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "115651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Reifman, LMFT, ATR
• Mark A Reiley, MD
• Winifred Mullinack Reilly, MA, MFT
• Cara Reiner, LMFT
• Natalie Reiner
• Margaret Reiss, LCSW
• Sepehr Rejai, M.D.
• Helmut Relinger, PHD
• James Lawrence Rembert, MD
• Mary E. Remington, LMFT

• Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.