Healthcare Provider Details

I. General information

NPI: 1407282502
Provider Name (Legal Business Name): ANGELA MICHELLE REINHOLD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA CARRIZALES LCSW

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 02/20/2024
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18160 ALPS DR
TEHACHAPI CA
93561-8453
US

IV. Provider business mailing address

24900 CA-202
TEHACHAPI CA
93561
US

V. Phone/Fax

Practice location:
  • Phone: 661-333-5570
  • Fax:
Mailing address:
  • Phone: 661-221-1319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number80746
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: