| Lisa Reyes Social Work, Llc | |
|
9309 W Kingfisher Dr Sioux Falls SD 57107-3050 | |
| (605) 610-6307 | |
| Not Available |
| Full Name | Lisa Reyes Social Work, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9309 W Kingfisher Dr, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Lisa Reyes (OWNER) |
| Authorized Official Contact | 6056106307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Reyes Social Work, Llc 9309 W Kingfisher Dr Sioux Falls SD 57107-3050 Ph: (605) 610-6307 | Lisa Reyes Social Work, Llc 9309 W Kingfisher Dr Sioux Falls SD 57107-3050 Ph: (605) 610-6307 |
| NPI Number | 1013495159 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 07/31/2018 |
| Medicare PECOS PAC ID | 5092066035 |
|---|---|
| Medicare Enrollment ID | O20181001002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013495159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3135 (South Dakota) | Primary |
| Provider Name | Lisa K Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306145214 PECOS PAC ID: 6901157940 Enrollment ID: I20181001002718 |
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