Gretchen Nicole Reynoso, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1904369 Issued in OH

Practice address

5900 Sharon Woods Blvd Ste a
Columbus, OH 43229-2600

Phone

(910) 495-4209

NPI assigned

Mar 5, 2019

Last updated

Jun 22, 2022By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1235697533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 PEACH TREE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043915",
            "telephone_number": "910-495-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SHARON WOODS BLVD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292600",
            "telephone_number": "910-495-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "GRETCHEN",
        "middle_name": "NICOLE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-06-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1904369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Reynolds
• Tyler Reynolds
• Vernon D Reynolds, D.O.
• William Reynolds, MD
• Reynoldsburg Dental Group
• Ali R. Rezai, MD
• Kylie Rezes
• Kamal Naguib Makar Rezkallah, MD
• Motahereh Rezvani
• Brendan Thomas Rhatican, DO

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.