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ADRIAN REVELES LCSW #112718
NPI 1891253613
Social Worker - Clinical in San Pedro, CA

Active since March 11, 2019
505 S PACIFIC AVE STE 101, SAN PEDRO, CA 90731(310) 774-0875 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 4, 2024, Mar 23, 2023, Mar 11, 2019 (3 updates tracked since 2019).

About Adrian Reveles Lcsw #112718 NPPES

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

ADRIAN REVELES LCSW #112718 (NPI 1891253613) is an individual clinical provider in San Pedro, California, licensed in California (112718) and active in the NPI registry since March 2019. He maintains a secondary practice location in San Fernando.

NPPES Registry Identity

NPI1891253613
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameADRIAN REVELESCredential: LCSW #112718
Location Address505 S PACIFIC AVE STE 101San Pedro, CA 90731-2656
Mailing Address7554 Wellman StCommerce, CA 90040-3314 · (323) 868-1281
Phone(310) 774-0875
Sole ProprietorNo
Enumeration DateMarch 11, 2019
Last NPPES UpdateJuly 4, 20243 updates tracked since enumeration
NPPES CertifiedJuly 4, 2024
✔ NPI 1891253613 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 CA · 112718
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.
505 S PACIFIC AVE STE 101, San Pedro, CA 90731
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Secondary Practice Location 1

Location 1762 Griswold AveSan Fernando, CA 91340-2105 · Phone (747) 500-9405

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 Adrian Reveles's NPI number?

The NPI number for Adrian Reveles is 1891253613. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Adrian Reveles located?

Adrian Reveles practices at 505 S Pacific Ave Ste 101, San Pedro, CA 90731. The listed phone number is (310) 774-0875.

What is Adrian Reveles'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 Adrian Reveles was last updated on July 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.