MICHAEL REYNOLDS (NPI# 1790289536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790289536 |
| Entity Type | Individual |
| Full Name | MICHAEL REYNOLDS |
| Practice Address |
101 Phoenix Ave Enfield CT 06082-4471 |
| Mailing Address |
64 Alcott Dr Windsor CT 06095-2606 |
| Practice Telephone | 8607637600 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
008747 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Hillside Cir Ste 107, West Springfield, MA 010894679 | 4135360503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035655 | Michael Justin Reynolds | Home Health Aide | 3926 Southern Ave Se, 101, Washington, DC 20020-2002 | 2020-08-25 |
| 1578105243 | Michael L Reynolds | Dentist | 7742 Herschel Ave Ste I, La Jolla, CA 92037-4444 | 2019-10-14 |
| 1568769743 | Michael David Reynolds | Rehabilitation Practitioner | 6486 Violet Breeze Way, Las Vegas, NV 89142-0997 | 2011-02-23 |
| 1881913150 | Michael Henry Reynolds II | Social Worker | 32790 State Highway 99 S, Stonewall, OK 74871-6128 | 2010-05-25 |
| 1164740767 | Michael W Reynolds | Social Worker | 108 Lincoln Rd Nw, Lake Placid, FL 33852-9728 | 2010-05-07 |
| 1942534714 | Michael P Reynolds | Occupational Therapy Assistant | 2457 N 81st St, Wauwatosa, WI 53213-1012 | 2009-09-28 |
| 1861654626 | Michael Thomas Reynolds | Dentist | 625 E. Nicollet Blvd, Suite 340, Burnsville, MN 55337 | 2008-07-01 |
| 1457319543 | Michael J Reynolds | Anesthesiology | 4821 Montgomery Ln, 801, Bethesda, MD 20814-3471 | 2006-05-01 |
| 1669436770 | Michael Bryan Reynolds | Family Medicine | 3480 Deltona Blvd, Spring Hill, FL 34606-2917 | 2006-04-14 |
| 1265418560 | Michael Connell Reynolds | Counselor | 251 Country Club Dr, Eden, NC 27288-3554 | 2005-12-19 |
| Street Address |
101 PHOENIX AVE |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629150057 | Carmine Masi | Physical Therapist | 101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 | 2006-10-19 |
| 1215391669 | Tasha Oliva | Physical Therapist | 101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 | 2016-04-12 |
| 1265831713 | Kimberly Pizzoferrato | Physical Therapist | 101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 | 2014-08-21 |
| 1033518014 | Zachary Demers | Physical Therapist | 101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 | 2014-08-15 |
| 1750622262 | Emily Groschan | Physical Therapist | 101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 | 2013-03-07 |
| 1306071519 | Ruchi Bhatia | Dentist | 101 Phoenix Ave, Suite 2a, Enfield, CT 06082-4471 | 2009-05-18 |
| 1871727750 | Kirstin Lane | Physical Therapist | 101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 | 2009-05-07 |
| 1053550848 | Erin Gaskell | Physical Therapist | 101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 | 2009-02-18 |
| 1982842985 | Echn Johnson Home and Community Health Services, Inc. | Hospice Care, Community Based | 101 Phoenix Ave, Enfield, CT 06082-4471 | 2009-01-29 |
| 1609014604 | Echn Johnson Home and Community Health Services, Inc. | Public Health or Welfare | 101 Phoenix Ave, Enfield, CT 06082-4471 | 2009-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386161537 | Meagan Gavey | Social Worker | 4 Powder Ridge Rd, Enfield, CT 06082-4712 | 2017-08-28 |
| 1265955272 | Eileen Ann Adler | Social Worker | 155 Raffia Rd, Enfield, CT 06082-5691 | 2017-07-21 |
| 1427430503 | Marylliam Gagne | Social Worker | 153 Hazard Ave Fl 1, Enfield, CT 06082-5444 | 2015-06-24 |
| 1639316458 | David A. Gemme | Social Worker | 1308 Woodgate Cir, Enfield, CT 06082-5590 | 2009-01-15 |
| 1487850533 | Kathleen Mary Richards | Social Worker | 95 Raffia Rd Ste 2, Enfield, CT 06082-5178 | 2007-06-25 |
| 1346454196 | Kelly A Schabot | Social Worker | 77 Hazard Ave, Suite M2, Enfield, CT 06082-3890 | 2007-05-10 |
| 1790835478 | Jayne M Noel | Social Worker | 95 Raffia Road, Kidz Matter LLC Suite # 2, Enfield, CT 06082 | 2007-01-12 |
| 1396802989 | Lisa Ann Sweeney | Social Worker | 28 Wilstar Cir, Enfield, CT 06082-4608 | 2007-01-02 |
| 1740354687 | Tammy Lynn Staples | Social Worker | 95 Raffia Rd, Suite #2, Enfield, CT 06082-5100 | 2006-11-20 |
| 1841361227 | Monique Sherman | Social Worker | 153 Hazard Ave., Enfield, CT 06082-4592 | 2006-11-10 |
| Find all providers in ENFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.