Provider Demographics
NPI:1558960112
Name:REYES, CELESTE HERMELINDA (LCSW)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:HERMELINDA
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 1:2005 LERIDA PL
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3419
Mailing Address - Country:US
Mailing Address - Phone:626-242-8552
Mailing Address - Fax:
Practice Address - Street 1:2005 LERIDA PL
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-3419
Practice Address - Country:US
Practice Address - Phone:626-242-8552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1290741041C0700X
CA963451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical