Alec Reynolds, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68436 Issued in CA

Practice address

601 E Center St
Panguitch, UT 84759-7865

Phone

(435) 676-8176

Fax

(435) 676-2615

NPI assigned

Apr 27, 2010

Last updated

Apr 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1194042457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E CENTER ST",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "847597865",
            "telephone_number": "435-676-8176",
            "fax_number": "435-676-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E CENTER ST",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "847597865",
            "telephone_number": "435-676-8176",
            "fax_number": "435-676-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ALEC",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "68436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Lee Peterson, APRN
• Brooke Walter Pieper, A.P.R.N.
• Prevent Inc. (Lynn A. Maguire P.T.)
• Carole A Ray, CDR
• Shaunna Michele Rechsteiner, RPH
• Robert L Smith DC PC
• Becky Sue Roberts, FNP
• Raigan Rogerson
• Samuel I Marshall, P,C. (Panguitch Drug)
• Shane R Jensen (Red Rock Eye Clinic)

• Clinical Social Worker in Panguitch, UT
• Providers in Panguitch, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.