JESSICA REYNOLDS (NPI# 1518443217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518443217 |
| Entity Type | Individual |
| Full Name | JESSICA REYNOLDS |
| Credential | LCSW |
| Practice Address |
1100 Wilford Hall Loop Bldg 4554 Jbsa Lackland TX 78236-5638 |
| Mailing Address |
4115 Medical Dr Ste 500 San Antonio TX 78229-5638 |
| Practice Telephone | 2102926255 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
60552 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LCSW | 60522 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4115 Medical Dr, Ste 500, San Antonio, TX 782295638 | 2102159955 | |
| 6322 Sovereign St, San Antonio, TX 782295142 | 2103862993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952793663 | Jessica Reynolds | Registered Nurse | 2645 N Walnut Ave, Tucson, AZ 85712-1827 | 2015-03-04 |
| 1538587670 | Jessica Alyse Reynolds | Speech-Language Pathologist | 1549 Ravana Dr, Orlando, FL 32822-8029 | 2014-04-05 |
| 1013226224 | Jessica Lynn Reynolds | Occupational Therapist | 56 Country Club Dr, Mount Marion, NY 12456 | 2010-10-05 |
| 1194336685 | Jessica Reynolds | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-08-10 |
| 1396375598 | Jessica S Reynolds | Nurse Practitioner | 1011 Main St Ste 140, Indianapolis, IN 46224-6980 | 2020-01-16 |
| 1205475373 | Jessica Ann Reynolds | Registered Nurse | 199 S Central Ave, Columbus, OH 43223-1301 | 2020-01-06 |
| 1285198580 | Jessica Reynolds | Behavior Technician | 17b Caledon Ct, Greenville, SC 29615-3170 | 2019-01-31 |
| 1265907737 | Jessica Reynolds | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2018-10-10 |
| 1164901575 | Jessica H Reynolds | Physical Medicine & Rehabilitation | 843 Wake Forest Business Park Ste 110, Wake Forest, NC 27587-6578 | 2018-08-08 |
| 1699275412 | Jessica Leigh Reynolds | Registered Nurse | 1215 Lee St, Charlottesville, VA 22908 | 2018-02-19 |
| Street Address |
1100 WILFORD HALL LOOP BLDG 4554 |
| City | JBSA LACKLAND |
| State | TX |
| Zip Code | 78236-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176266 | Peter S Scholler | Nurse Practitioner | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2005-06-28 |
| 1376144428 | Steven Hilton | Physician Assistant | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-11-05 |
| 1235759077 | Courtney Kelly | Dentist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-22 |
| 1326667783 | Shreena Reddy | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-15 |
| 1114556685 | Magin Day | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-06 |
| 1346879038 | Caitlin Gonsolin | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-03 |
| 1497383756 | Jerry Andrew Peer | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-03-31 |
| 1083241103 | Brian Patrick Staak | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-03-26 |
| 1902438583 | Andrew Kim | Physical Therapist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-02-11 |
| 1326694845 | Ross Stanley | Dentist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679800734 | Dawn A Tanner | Social Worker | 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236 | 2009-11-11 |
| 1720175516 | Carol M Copeland | Social Worker | Wilford Hall Ambulatory Surg Center, 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 | 2006-10-05 |
| 1528571650 | Holly Johnson | Social Worker | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | 2017-11-11 |
| 1538527734 | Isaiah Jones | Social Worker | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2016-02-02 |
| 1861891046 | Chari Mcmahon | Social Worker | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2014-08-14 |
| 1861819690 | Mark Albulov | Social Worker | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2014-03-18 |
| 1285058024 | Samanda Bryant Hagan | Social Worker | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | 2014-02-14 |
| 1427492602 | Carol Louise Ameline | Social Worker | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2013-04-18 |
| 1245593532 | Frances H. Martinez | Social Worker | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2012-06-21 |
| 1407124100 | Barbara Beth Williams | Social Worker | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2011-12-08 |
| Find all providers in JBSA LACKLAND | ||||
| City | JBSA LACKLAND |
| Zip Code | 78236 |
Please comment or provide details below to improve the information on JESSICA REYNOLDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.