Marta Elena Reynoso
Clinical Social Worker
409 Jackson St Suite 200
Hayward
, California 94544-1530
Marta Elena Reynoso
Clinical Social Worker
409 Jackson St Suite 200
Hayward
, California 94544-1530
(510) 499-8944
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Marta Elena Reynoso
- 954 Helen Ave
- San Leandro, CA
- Zip : 94577-2128
- Phone : (510) 499-8944
Second Address
- Marta Elena Reynoso
- 409 Jackson St Suite 200
- Hayward, CA
- Zip : 94544-1530
- Phone : (510) 891-5650
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 28394 | CA |
National Provider Identifier
| NPI | 1003203944 |
|---|---|
| Provider Name | Marta Elena Reynoso |
| First Address | San Leandro, CA 94577-2128 |
| Second Address | Hayward, CA 94544-1530 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2015 |
| Last Update Date | 17/04/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.