Active NPI
Lindsey L. Reynoso, LCSW, MSW, CCTP, BSP
- Clinical Social Worker
- Gilbert, AZ
National Provider Identifier
1871036640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-19240
- Practice address
- 428 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2261 - Phone
- (480) 442-5007
- NPI assigned
- Nov 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149018409 | IL | |
| Clinical Social Worker | 1041C0700X | LCSW-19240 | AZ | Primary |
Addresses
Primary practice location
428 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2261
Mailing address
428 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2261
Phone (480) 442-5007
Other practice location 1
230 E Ohio St Ste 4101152
Chicago, IL 60611-3265
Phone (480) 442-5007
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149018409 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsey Reynoso, LCSW: Mental Health Counseling & Consulting, PLLC | Clinical | Current | Accepting new patients |
| Lindsey Reynoso, LCSW: Mental Health Counseling & Consulting PLLC | Clinical | Current | Accepting new patients |
| Fox Valley Institute for Growth and Wellness Inc | Past | Accepting new patients | |
| Revelations RX PLLC | Past | Accepting new patients |
Locations
428 S Gilbert Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 442-5007
230 E Ohio St
Ste 4101152
Chicago, IL 60611
Phone (480) 442-5007
Organizations & group practices 4
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.
-
dba Lindsey L Reynoso
- Clinical Social Worker
- Gilbert, AZ
- NPI 1497326375
-
dba Lindsey L Jensen
- Clinical Social Worker
- Chicago, IL
- NPI 1376262188
-
- Counselor
- Naperville, IL
- NPI 1174637334
-
- Psychiatric/Mental Health Nurse Practitioner
- Naperville, IL
- NPI 1265124846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1871036640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 S GILBERT RD STE 105",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962261",
"telephone_number": "480-442-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 S GILBERT RD STE 105",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962261",
"telephone_number": "480-442-5007"
}
],
"practiceLocations": [
{
"address_1": "230 E Ohio St Ste 4101152",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113265",
"country_code": "US",
"telephone_number": "480-442-5007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOSO",
"first_name": "LINDSEY",
"middle_name": "L.",
"credential": "LCSW, MSW, CCTP, BSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149018409",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-19240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.