Brittany N Reynolds, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1450872 Issued in OH

Practice address

202 E Bagley Rd
Berea, OH 44017-2058

Phone

(440) 260-8300

Fax

(440) 260-8305

NPI assigned

Feb 25, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brittany N Bynum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1417254590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 GOLDENROD DR",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440603309",
            "telephone_number": "740-322-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172058",
            "telephone_number": "440-260-8300",
            "fax_number": "440-260-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRITTANY",
        "middle_name": "N",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1002069",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1450872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BYNUM",
            "middle_name": "N",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Reardon, RN
• Regional Home Healthcare, Inc.
• Andrew Reis
• Niko Louise Reist, LSW
• Robert James Reitman, LPCC
• Julia Richard, QMHS BA CMS BA
• Pam Lynne Riczo, R.N.
• Timothy Ridner
• Abigail Marie Rigda
• Kaleb Ringer, QMHS BA CMS BA

• Clinical Social Worker in Berea, OH
• Providers in Berea, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.