Michael W Reynolds, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7514 Issued in FL

Practice address

108 Lincoln Rd NW
Lake Placid, FL 33852-9728

Phone

(863) 243-1011

NPI assigned

May 7, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Positive Outlook Counseling Service, Inc.

  dba K M Enterprises

  • Clinical Social Worker
  • Lake Placid, FL
  • NPI 1609184498
  NPD (past) Authorized official
• GPS II

  • Health Service Psychologist
  • Longboat Key, FL
  • NPI 1861740888
  NPD (past)
• John P McDonough III

  dba Geriatric Psychological Specialists

  • Psychologist
  • Tampa, FL
  • NPI 1346280161
  NPD (past)
• Rizzo & Associates, PC

  • Clinical Psychologist
  • Omaha, NE
  • NPI 1306802806
  NPD (past)

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1164740767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LINCOLN RD NW",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529728",
            "telephone_number": "863-243-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LINCOLN RD NW",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529728",
            "telephone_number": "863-243-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lisandra Quintero Reyes
• Anavatti L Raghuveera, M.D.
• Jesus Alejandro Ramirez Quintana
• Edlin Ramos, RN
• William Earl Ratterree Jr., PTA
• Jewel Sharon Camille Richards-Lee, RPH
• Daniel D Richards Jr., D.M.D.
• James Riley
• Meredith Jeannette Ritacco, M.S., CCC-SLP
• Evaristo Enrique Rivero, DPM

• Clinical Social Worker in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.