Individual provider Active NPI

Jessica Benge Reynolds

  • Clinical Social Worker
  • Somerset, KY
National Provider Identifier
1861317216
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00001701 Issued in KY
Practice address
401 Bogle St Ste 102
Somerset, KY 42503-2849
Phone
(606) 676-0638
Fax
(606) 676-0789
NPI assigned
Aug 13, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 00001701 KY Primary

Addresses

Primary practice location

401 Bogle St Ste 102
Somerset, KY 42503-2849

Mailing address

401 Bogle St Ste 102
Somerset, KY 42503-2849
Phone (606) 676-0638

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

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1861317216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 102",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032849",
            "telephone_number": "606-676-0638",
            "fax_number": "606-676-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 102",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032849",
            "telephone_number": "606-676-0638",
            "fax_number": "606-676-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGE REYNOLDS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "00001701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.