Individual provider Active NPI

Danielle Marie Reynolds

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1790459394
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013102 Issued in VA
Practice address
1451 Belle Haven Rd Ste 230
Alexandria, VA 22307-1201
Phone
(571) 207-6471
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 0904013102 VA Primary

Addresses

Primary practice location

1451 Belle Haven Rd Ste 230
Alexandria, VA 22307-1201

Mailing address

6402 14TH St
Alexandria, VA 22307-1407
Phone (802) 735-5447

Other practice location 1

1900 Mount Vernon Ave
Alexandria, VA 22301-1302
Phone (802) 735-5447

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
0904013102VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Collective,LLC Clinical CurrentSince Oct 27, 2024 Accepting new patients

Locations

1451 Belle Haven Rd
Ste 230
Alexandria, VA 22307
Phone (206) 947-3083

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1790459394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 14TH ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071407",
            "telephone_number": "802-735-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD STE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071201",
            "telephone_number": "571-207-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223011302",
            "country_code": "US",
            "telephone_number": "802-735-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-10-23",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.