Kathryn Ann Reynolds, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5507 Issued in TN

Practice address

2021 Church St Ste 800
Nashville, TN 37203-2062

Phone

(615) 385-4090

Fax

(615) 385-0138

NPI assigned

Apr 22, 2011

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrative Life Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Nashville, TN
  • NPI 1396052825
  Authorized official Same address or phone
• Evelyn M Frye Clinical Associates, PC

  • Counselor
  • Nashville, TN
  • NPI 1578514923

  Clinical

  NPD

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1336430503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 FORREST OAKS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372213965",
            "telephone_number": "615-739-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032062",
            "telephone_number": "615-385-4090",
            "fax_number": "615-385-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Nichole Reynolds
• Chelsea Reynolds
• Drew Howard Reynolds, M.D.
• Hannah Grace Reynolds, M.ED., LPC-MHSP
• Joseph Reynolds
• Kelsey Crawford Reynolds, OT
• Lillian McCampbell Reynolds, MD
• Linda F Reynolds, CRNA
• Meagan Reynolds
• Melissa R Reynolds, PHARM.D.

• Clinical Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.