Christine Marie Reynolds, MSSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007237 Issued in VA

Practice address

7520 Gardner Park Dr
Gainesville, VA 20155-3414

Phone

(571) 248-2358

Fax

(571) 248-2359

NPI assigned

Mar 9, 2012

Last updated

Jul 24, 2020By 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

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.

Opted out of Medicare

Yes, effective Apr 26, 2017 through Apr 26, 2027

Medicare enrollment (NPD)

Not 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.

• Margaret H. Harvey, LLC

  dba Blue Ridge Psychological Center

  • Professional Counselor
  • Gainesville, VA
  • NPI 1780958595

  Clinical

  NPD (past)

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1306111224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 GARDNER PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414",
            "telephone_number": "571-248-2358",
            "fax_number": "571-248-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 GARDNER PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414",
            "telephone_number": "571-248-2358",
            "fax_number": "571-248-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renewal Dermatology PLLC
• Renewal Dermatology PLLC
• Melissa Anna Restrepo, D.M.D
• Results Rehab & Fitness, Inc
• Audra Reynolds, PSY.D.
• Rhea Davis, DDS & Arshia Shingler, DDS, PC (Gainesville Pediatric Dentistry)
• Stephanie Rhodes, PT, DPT
• Erica Ribenboim, D.M.D
• Leigh Ann Richardson, O.T.R.
• Nelson Richardson, LCSW

• Clinical Social Worker in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.