Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adrian Reveles, LCSW112718

Individual provider Clinical Social Worker · NPI 1891253613

Adrian Reveles, LCSW112718 is a Clinical Social Worker in San Pedro, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

505 S Pacific Ave Ste 101
San Pedro, CA 90731-2656
Phone: (310) 774-0875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 762 Griswold Ave, San Fernando, CA 91340-2105 — (747) 500-9405

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 112718 (CA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1891253613
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW112718
Sole proprietorNo
NPI enumeratedMarch 11, 2019
Last updated in NPPESJuly 4, 2024
Certification dateJuly 4, 2024

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