Provider Demographics
NPI:1023722980
Name:REYNOSO, ZULEIKA (LMSW)
Entity type:Individual
Prefix:
First Name:ZULEIKA
Middle Name:
Last Name:REYNOSO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4452 SE MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66609-1704
Mailing Address - Country:US
Mailing Address - Phone:785-969-7098
Mailing Address - Fax:
Practice Address - Street 1:225 SW 12TH ST STE 203
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66612-1310
Practice Address - Country:US
Practice Address - Phone:785-969-7098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11106104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker