Elise Reynolds, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11781-C Issued in AR

Practice address

5500 W Pinnacle Pointe Dr Ste 204
Rogers, AR 72758-8153

Phone

(479) 268-4142

NPI assigned

Jan 27, 2025

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1245043017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 W PINNACLE POINTE DR STE 204",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 W PINNACLE POINTE DR STE 204",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588153",
            "telephone_number": "479-268-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "11781-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration Ministries Inc.
• Resurgent MHT
• Revive Health and Wellness PLLC
• Katiutschka Estela Reyes, APN
• Latara Ann Reyes
• Philip G Reynolds Jr.
• Rachel Iwanda Reynolds, APRN
• Mackenzie Ann Rhea, PT, DPT
• Elizabeth Jane Rhodes, DC
• Jeffrey D Rhodes, DDS, MS

• Clinical Social Worker in Rogers, AR
• Providers in Rogers, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.