Healthcare Provider Details

I. General information

NPI: 1396881231
Provider Name (Legal Business Name): MARIA GUADLUPE REYES ACSWI, PPS SCHOOL SW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 488
HAMILTON CITY CA
95951-0488
US

IV. Provider business mailing address

3151 MARIPOSA AVE
CHICO CA
95973-2103
US

V. Phone/Fax

Practice location:
  • Phone: 530-826-3261
  • Fax: 530-826-3929
Mailing address:
  • Phone: 530-570-9520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17379
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: