Kimberly Reynolds, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011036869 Issued in MO

Practice address

1427 Sumac Cir
Liberty, MO 64068-7779

Phone

(816) 898-0353

NPI assigned

Jul 12, 2016

Last updated

May 22, 2017By the provider in NPPES

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wubbenhorst & Wubbenhorst, Inc.

  dba Madison Avenue Psychological Services

  • Clinical Psychologist
  • Kansas City, MO
  • NPI 1891049813
  NPD (past)
• Encompass Medical Group, PA

  dba Encompass Medical Group, PC

  • General Practice Physician
  • Overland Park, KS
  • NPI 1063457299
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1245682327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY BLVD",
            "address_2": "STE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112655",
            "telephone_number": "816-753-3333",
            "fax_number": "816-753-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 SUMAC CIR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687779",
            "telephone_number": "816-898-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KIMBERLY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011036869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Res-Care Kansas, Inc. (All Ways Caring HomeCare)
• Gary Ernest Reuter, DDS
• Christina Nicole Reynolds, LCSW, LSCSW
• Heather Reynolds, COTA
• Jamel Satin Reynolds, PA-C
• Rha Health Services Mo LLC
• Lana Rhaimeh, CAA
• Michael Seung Rhee, M.D.
• Rhodes Creek Health and Wellness
• Colleen Renee Richards, OTR/L

• Clinical Social Worker in Liberty, MO
• Providers in Liberty, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.