Leticia J Reyes is a Clinical in Blackfoot, Idaho. Leticia J Reyes practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leticia J Reyes is 1760512396. The last update date is 2007-07-08.
Leticia J Reyes's current location address is 495 N Shilling Ave, Blackfoot, Idaho. You can contact this provider via phone number 2087822050. The mailing address for Leticia J Reyes is 495 N Shilling Ave, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leticia J Reyes |
|---|---|
| Address | 495 N Shilling Ave, Blackfoot, Idaho |
| Phone Number | 2087822050 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1760512396 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 495 N Shilling Ave |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832212336 |
| Phone Number | 2087822050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LMSW27346 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Post Comment/ Review Below
What is the unique identification code assigned to Leticia J Reyes by the Centers for Medicare & Medicaid Services?
The Leticia J Reyes has been issued the NPI (National Provider Identifier) 1760512396. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Leticia J Reyes is geographically located?
The Leticia J Reyes is physically situated at the following location: 495 N Shilling Ave, Blackfoot, ID, 832212336.
What is Leticia J Reyes's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Leticia J Reyes is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Leticia J Reyes receive the assignment of its 1760512396 from the Centers for Medicare & Medicaid Services?
The Leticia J Reyes was issued its 1760512396 by the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date was the information regarding Leticia J Reyes, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leticia J Reyes, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1134122146
Address: P. O. Box 31911, Tampa, FL
NPI Number: 1629071758
Address: 1600 Prairie Center Pkwy, Brighton, CO