Active NPIIndividual providerSole proprietor

Mrs. Amy H Reynolds, LCSW, LADC, CCS

Social Worker, Clinical in Portland, Maine

NPI Number1417558792
Practice location
25 Middle St, Portland, ME 04101-4869
Fax
—
Last updated
November 4, 2020

Amy H Reynolds is a Social Worker, Clinical based in Portland, ME. Amy H Reynolds practices in Portland, ME and has the professional credentials of LCSW, LADC, CCS. The NPI Number for Amy H Reynolds is 1417558792 and holds a License No. LC17205 (ME). The current practice location address for Amy H Reynolds is 25 Middle St, Portland, ME 04101-4869 and can be reached out via phone at 207-756-4455.

Provider Profile Details

NPI Number
1417558792
Provider Name
Amy H Reynolds
Credential
LCSW, LADC, CCS
Provider Entity Type
Individual
Gender
Female
Address
25 Middle St, Portland, ME 04101-4869
Phone Number
207-756-4455
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 4, 2020
Last Update Date
November 4, 2020
Certification Date
October 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Middle St
Portland, ME 04101-4869
State
Maine
Zip
04101-4869
Phone Number
207-756-4455
Portland, ME 04101Get directions →

Provider Business Mailing Address Details

Address
10 Oak Ridge Dr
Standish, ME 04084-6019
City
Standish
State
ME
Zip
04084-6019
Phone Number
207-756-4455

License Information

License Number (1)
LC17205
License State (1)
ME
Taxonomy (1)
Assistant Behavior Analyst · 106E00000X
License Number (2)
LC17205
License State (2)
ME
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Amy H Reynolds, LCSW, LADC, CCS?

The NPI number of Mrs. Amy H Reynolds, LCSW, LADC, CCS is 1417558792. It was assigned on November 4, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Amy H Reynolds, LCSW, LADC, CCS?

Mrs. Amy H Reynolds, LCSW, LADC, CCS is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC17205.

Where does Mrs. Amy H Reynolds, LCSW, LADC, CCS practice?

The practice location is 25 Middle St, Portland, ME 04101-4869. The office can be reached at 207-756-4455 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417558792 directly on the NPPES registry website.

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