Individual provider Active NPI

Anne Reynolds, LMSW

  • Social Worker
  • Phoenix, AZ
National Provider Identifier
1457018293
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-20789 Issued in AZ
Practice address
14040 N Cave Creek Rd Ste 108
Phoenix, AZ 85022-6117
Phone
(602) 503-0710
Fax
(888) 927-0409
NPI assigned
Nov 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-20789 AZ Primary

Addresses

Primary practice location

14040 N Cave Creek Rd Ste 108
Phoenix, AZ 85022-6117

Mailing address

14040 N Cave Creek Rd Ste 210
Phoenix, AZ 85022-6179
Phone (602) 503-0710

Other identifiers 1

IdentifierTypeStateIssuer
LMSW-20789OtherAZARIZONA BOARD OF BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-20789AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanbee Wellness, LLC CurrentSince Dec 8, 2024 Accepting new patients
Teri'S Health Services PastSince Sep 25, 2022 Accepting new patients

Locations

14040 N Cave Creek Rd
Ste 108
Phoenix, AZ 85022
Phone (602) 358-7073

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1457018293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 N CAVE CREEK RD STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226179",
            "telephone_number": "602-503-0710",
            "fax_number": "888-927-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 N CAVE CREEK RD STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226117",
            "telephone_number": "602-503-0710",
            "fax_number": "888-927-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-20789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH",
            "identifier": "LMSW-20789",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.