MEDICARE: REENA CHRISTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149029647	IL
2	1041C0700X	Clinical Social Worker	137269	CA

General Provider Information

NPI Number	:	1740160621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REENA CHRISTY

Provider Business Mailing Address
First Line	:	2234 DELAWARE AVE APT B
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-4870
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2234 DELAWARE AVE APT B
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-4870
Country	:	US
Telephone Number	:	224-475-7251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	05/06/2026

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Directions to “ REENA CHRISTY ” Practice Location

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