Individual provider Active NPI

Sasha Rae Reynolds-Neu, LICSW

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1093902306
Registry record updated Aug 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1436C Issued in AL
Practice address
917 Willowbrook Dr SE # F3
Huntsville, AL 35802-3263
Phone
(205) 420-1742
Fax
(256) 427-2350
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1436C AL Primary

Addresses

Primary practice location

917 Willowbrook Dr SE # F3
Huntsville, AL 35802-3263

Mailing address

3686 Simpson Point Rd
Grant, AL 35747-7913
Phone (205) 420-1742

Other names 1

  • Sasha Rae Reynolds Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1436CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Cove Psychotherapy Services Clinical CurrentSince Aug 15, 2021 Accepting new patients

Locations

917 Willowbrook Dr SE
#F3
Huntsville, AL 35802
Phone (205) 420-1742

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1093902306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 SIMPSON POINT RD",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357477913",
            "telephone_number": "205-420-1742",
            "fax_number": "256-427-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 WILLOWBROOK DR SE # F3",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023263",
            "telephone_number": "205-420-1742",
            "fax_number": "256-427-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS-NEU",
        "first_name": "SASHA",
        "middle_name": "RAE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1436C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "REYNOLDS",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.