Individual provider Active NPI

Carsyn Reynolds

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1568166593
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09933280 Issued in CO
Practice address
11208B Evanston Ave N
Seattle, WA 98133-8270
Phone
(720) 984-2310
NPI assigned
Mar 27, 2023
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X CSW.09933280 CO Primary

Addresses

Primary practice location

11208B Evanston Ave N
Seattle, WA 98133-8270

Mailing address

1500 N Grant St Ste R
Denver, CO 80203-1859
Phone (720) 984-2310

Other practice location 1

1500 N Grant St # 10891
Denver, CO 80203-1859
Phone (720) 984-2310

Other practice location 2

5310 Ward Rd Ste G07
Arvada, CO 80002-1829
Phone (720) 807-3336

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
SWC.0000001970COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Process of Being PLLC Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1568166593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST STE R",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "720-984-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11208B EVANSTON AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338270",
            "telephone_number": "720-984-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N Grant St # 10891",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802031859",
            "country_code": "US",
            "telephone_number": "720-984-2310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5310 Ward Rd Ste G07",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800021829",
            "country_code": "US",
            "telephone_number": "720-807-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CARSYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09933280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.