Kenosha Lashunn Reynolds, MS.,MSW, RCSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16457 Issued in FL

Practice address

1375-A Cross Creek Circle
Tallahassee, FL 32307-0001

Phone

(850) 518-6449

NPI assigned

Nov 8, 2021

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1396400941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 HALLWOOD LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178908",
            "telephone_number": "334-322-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375-A CROSS CREEK CIRCLE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323070001",
            "telephone_number": "850-518-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KENOSHA",
        "middle_name": "LASHUNN",
        "credential": "MS.,MSW, RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oliver Reyes, DO
• Gizem Reyhanoglu
• Nicole Reynaga
• Bruce Grahlmann Reynolds III, MD
• Jennifer Reynolds, APRN-C
• Krista Brown Reynolds
• Paul D Reynolds, D.P.M.
• Reeshara Reynolds
• Sarah Elizabeth Reynolds, LCSW
• Carrie Rhodes

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.