Sarah Lavonne Reynolds, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1002 N Mulberry St
Elizabethtown, KY 42701-2037

Phone

(270) 982-9292

Fax

(270) 982-9293

NPI assigned

Jan 28, 2012

Last updated

Nov 16, 2016By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Building Foundations Counseling and Consultation

  • Clinical Social Worker
  • Elizabethtown, KY
  • NPI 1629709555
  NPD Authorized official
• Brighter Futures Counseling, PLLC

  • Professional Counselor
  • Elizabethtown, KY
  • NPI 1245652072
  NPD (past)

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

{
    "created_epoch": "1327708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1184996720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N MULBERRY ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012037",
            "telephone_number": "270-982-9292",
            "fax_number": "270-982-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N MULBERRY ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012037",
            "telephone_number": "270-982-9292",
            "fax_number": "270-982-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SARAH",
        "middle_name": "LAVONNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-28",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Restivo, APSS
• Restoration DME Supplies, LLC
• Tanya F Revor, APRN-FNP
• Mirabelle Reyes, D.O.
• Jason Harold Reynolds, M.D.
• Shelby Marie Reynolds, RBT
• Rebecca Reza King
• Adam Rhein, DO
• Emilee Rhodes, APSS
• John Davison Rhodes III, M.D.

• Social Worker in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.