Healthcare Provider Details

I. General information

NPI: 1366691453
Provider Name (Legal Business Name): ARTURO REYES OCAMPO LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SHAW AVE STE 115
CLOVIS CA
93612
US

IV. Provider business mailing address

1187 N WILLOW AVE STE 103-887
CLOVIS CA
93611-4411
US

V. Phone/Fax

Practice location:
  • Phone: 559-825-1324
  • Fax: 559-408-5557
Mailing address:
  • Phone: 559-404-3550
  • Fax: 559-408-5557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138084
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW76809
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number109898
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW21271
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-4543
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: