Individual provider Active NPI

Janine E Reynolds, LCSW

  • Clinical Social Worker
  • Martinsburg, WV
National Provider Identifier
1669759320
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00944743 Issued in WV
Practice address
400 Foxcroft Ave Ste 104
Martinsburg, WV 25401-5302
Phone
(304) 513-3495
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017114 PA
Clinical Social Worker 1041C0700X DP00944743 WV Primary

Addresses

Primary practice location

400 Foxcroft Ave Ste 104
Martinsburg, WV 25401-5302

Mailing address

1180 Professional CT
Hagerstown, MD 21740-5852
Phone (301) 791-3045

Other practice location 1

176 S Coldbrook Ave
unit 2
Chambersburg, PA 17201-2714
Phone (717) 267-7480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170124001248 MD Practitioner - Clinical Social Worker 2264714468 Reassigns benefits to 1 organization
I20230831004852 WV Practitioner - Clinical Social Worker 2264714468 Reassigns benefits to 3 organizations
I20251129000008 PA Practitioner - Clinical Social Worker 2264714468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life IncGroup PAC ID 8123433034, 113 clinicians
Grandw IncGroup PAC ID 9739324922, 93 clinicians

Practice addresses (Care Compare)

126 E Burke St
Martinsburg, WV 25401-4302
Phone (800) 567-5433

200 Barr Harbor Dr
Suite 400
Conshohocken, PA 19428-2978
Phone (800) 567-5433

400 Foxcroft Ave
Martinsburg, WV 25401-5302
Phone (304) 560-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017114PAMDClinical Social Worker
DP00944743WVMDClinical Social Worker
13473MDMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Center of Western Maryland, Inc. Clinical CurrentSince Dec 6, 2016 Accepting new patients
Total Life FL PA CurrentSince Dec 1, 2025 Accepting new patients
Total Life Inc. CurrentSince Nov 1, 2025 Accepting new patients
GR&W, Inc CurrentSince Jul 10, 2023 Accepting new patients
GR&W, Inc PastSince Apr 6, 2025 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

1180 Professional Ct
Hagerstown, MD 21740
Phone (301) 791-3045

200 Barr Harbor Dr
Ste 400
West Cnshohocken, PA 19428
Phone (484) 362-9802

400 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 443-1408

126 E Burke St
Martinsburg, WV 25401
Phone (240) 761-8720

400 Foxcroft Ave
Ste 104
Martinsburg, WV 25401
Phone (304) 513-3495

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

Organizations & group practices 5

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": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1669759320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 PROFESSIONAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405852",
            "telephone_number": "301-791-3045",
            "fax_number": "240-313-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOXCROFT AVE STE 104",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015302",
            "telephone_number": "304-513-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 S Coldbrook Ave",
            "address_2": "unit 2",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172012714",
            "country_code": "US",
            "telephone_number": "717-267-7480",
            "fax_number": "717-267-7403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JANINE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017114",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.