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

Maryellen Geronimo Reyes, LCSW-R

Individual provider Clinical Social Worker · NPI 1396219820

Maryellen Geronimo Reyes, LCSW-R is a Clinical Social Worker in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

2285 Victory Blvd
Staten Island, NY 10314-6631
Phone: (646) 409-7687
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 051767 (NY)

Record details

NPI number1396219820
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJanuary 17, 2019

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