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

Mary Beth Reynoso

Individual provider Social Worker · NPI 1295165280

Mary Beth Reynoso is a Clinical Social Worker in Milwaukee, Wisconsin. Qualified in 2013, 13 years ago. Practices with 16th Street Community Health Center Inc, a 84-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2013
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2906 S 20th St
Milwaukee, WI 53215-3732
Phone: (920) 905-2865
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8410-123 (WI)
Social Worker Taxonomy 104100000X

Record details

NPI number1295165280
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2013
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice 16th Street Community Health Center Inc. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Milwaukee