Individual provider · Type 1 NPI

Michael Reynolds

Clinical Social Worker · Enfield, CT

NPI number 1790289536 Active

Practice location

101 Phoenix Ave
Enfield, CT 06082-4471

Mailing address

64 Alcott Dr
Windsor, CT 06095-2606

Other practice locations

  • 200 Hillside Cir Ste 107, West Springfield, MA 01089-4679 · (413) 536-0503

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X008747 (CT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1790289536

Michael Reynolds's National Provider Identifier is 1790289536, issued on Mar 19, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Enfield, CT. The record was last updated on Mar 19, 2018.