Individual
PILAR REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, LCSW
Contact information
Practice address
2000 CENTER POINT RD, COLUMBIA, SC 29210-5812
(843) 501-1099
Mailing address
2000 CENTER POINT RD, COLUMBIA, SC 29210-5812
(843) 501-1099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8211242-3502
UT
1041C0700X
Clinical Social Worker
Primary
14576
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
03/22/2016
Last updated
08/20/2023
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