Provider Demographics
NPI:1942423215
Name:WOODS, REINA MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:REINA
Middle Name:MARIE
Last Name:WOODS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:REINA
Other - Middle Name:
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:93207-0127
Mailing Address - Country:US
Mailing Address - Phone:559-944-3440
Mailing Address - Fax:
Practice Address - Street 1:20601 US HIGHWAY 18
Practice Address - Street 2:BLD 142
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-3567
Practice Address - Country:US
Practice Address - Phone:909-559-2485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW733391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical