Provider Demographics
NPI:1629454780
Name:REYES, YOBERKI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:YOBERKI
Middle Name:
Last Name:REYES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 ADELAIDE ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-7402
Mailing Address - Country:US
Mailing Address - Phone:203-338-0320
Mailing Address - Fax:203-338-0320
Practice Address - Street 1:145 ADELAIDE ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-7402
Practice Address - Country:US
Practice Address - Phone:203-338-0320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker