Nancy Louise Reynolds, LCSW,RN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4589 Issued in OR

Practice address

319 SW Washington St
# 1015
Portland, OR 97204-2635

Phone

(503) 735-5994

Fax

(503) 227-2561

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1871878355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 NW NORTHRUP ST APT 17",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102983",
            "telephone_number": "503-719-6943",
            "fax_number": "503-227-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SW WASHINGTON ST",
            "address_2": "# 1015",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042635",
            "telephone_number": "503-735-5994",
            "fax_number": "503-227-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "NANCY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Guion Reynolds, PHD
• Lawrence Reynolds
• Lindsey Kinna Reynolds, LMT
• Lisa A Reynolds, MD
• Matthew Rudd Reynolds
• Olivia Reynolds, PSY.D.
• Ricco Cory Reynolds, FNP-C
• Sharon Elizabeth Reynolds, MN, FNP
• Stephen M Reynolds, LCSW
• Olivia Brooks Reynoldson, LAC, DAOM

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.