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MARYELLEN GERONIMO REYES LCSW-R
NPI 1396219820
Social Worker - Clinical in Staten Island, NY

Active since January 17, 2019
2285 VICTORY BLVD, STATEN ISLAND, NY 10314(646) 409-7687 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryellen Geronimo Reyes Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYELLEN GERONIMO REYES LCSW-R (NPI 1396219820) is an individual clinical provider in Staten Island, New York, licensed in New York (051767) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1396219820
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARYELLEN GERONIMO REYESCredential: LCSW-R
Location Address2285 VICTORY BLVDStaten Island, NY 10314-6631
Mailing Address80 Walters AveStaten Island, NY 10301-4121
Phone(646) 409-7687
Sole ProprietorYes
Enumeration DateJanuary 17, 2019
✔ NPI 1396219820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 051767
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2285 VICTORY BLVD, Staten Island, NY 10314
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAKOTA HARPER, LCSW PLLC
Social Worker (Clinical)
2285 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (917) 297-3146
PUROW MD SHAPS MD PC
Clinic/Center (Endoscopy)
2285 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 761-9386
SELENA RAMIREZ
Counselor (Mental Health)
2285 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 442-3646
ALEXANDRIA FERRANTELLI MHC-I
Counselor (Mental Health)
2285 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (917) 273-3119
SHRINKING SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2285 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (347) 884-0509
GALANTE LICENSED CLINICAL SOCIAL WORK PLLC
Social Worker (Clinical)
2285 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (347) 342-8638
ARIANA VICTORIA AMENDOLA LCSW
Social Worker (Clinical)
2285 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (347) 342-8638
DR. ELIAS PUROW M.D.
Internal Medicine (Gastroenterology)
2285 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 761-9319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryellen Reyes's NPI number?

The NPI number for Maryellen Reyes is 1396219820. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Maryellen Reyes located?

Maryellen Reyes practices at 2285 Victory Blvd, Staten Island, NY 10314. The listed phone number is (646) 409-7687.

What is Maryellen Reyes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Maryellen Reyes was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.