KIMBERLY JEAN REYNOLDS-SOLAR


Address: 1320 Wisconsin Ave, Racine, WI 53403-1978
Phone: 2626872222

KIMBERLY JEAN REYNOLDS-SOLAR (NPI# 1598007775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598007775
Entity Type Individual
Full Name KIMBERLY JEAN REYNOLDS-SOLAR
Credential LCSW, CSAC
Practice Address 1320 Wisconsin Ave
Racine
WI 53403-1978
Practice Telephone 2626872222
Practice Fax Number 2626872495
Mailing Telephone 2626872222
Mailing Fax Number 2626872495
Enumeration Date 2013-03-26
Last Update Date 2019-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
8378 WI Behavioral Health & Social Service Providers

Office Location

Street Address 1320 WISCONSIN AVE
City RACINE
State WI
Zip Code 53403-1978

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972501070 Paul William Springborn Pharmacist 1320 Wisconsin Ave, Racine, WI 53403-1978 2005-07-12
1790257525 Tonya Iliah Witherspoon Counselor 1320 Wisconsin Ave, Racine, WI 53403-1978 2018-12-18
1750872438 Maria Elena Godines Nurse Practitioner 1320 Wisconsin Ave, Racine, WI 53403 2018-05-29
1336660398 Britani Rae May Physical Therapy Assistant 1320 Wisconsin Ave, Racine, WI 53403-1978 2017-06-29
1285169276 Lakeisha Woods Social Worker 1320 Wisconsin Ave, Racine, WI 53403 2017-04-27
1841738028 Mary Harris Occupational Therapy Assistant 1320 Wisconsin Ave, Racine, WI 53403-1978 2017-02-07
1164887774 Jennifer Gullo Social Worker 1320 Wisconsin Ave, Racine, WI 53403-1978 2015-12-24
1386020410 Elizabeth Louise Retherford Nurse Practitioner 1320 Wisconsin Ave, Racine, WI 53403-1978 2015-07-30
1518351303 Elisabeth Steadman Social Worker 1320 Wisconsin Ave, Racine, WI 53403-1978 2015-03-19
1104223510 Nicholas Bruno Social Worker 1320 Wisconsin Ave, Racine, WI 53403 2014-12-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124676259 Quality Care LLC Clinic/Center 2051 Mead St, Racine, WI 53403 2019-09-02
1073999355 Wisconsin Lutheran Child & Family Service, Inc. Social Worker 6150 Taylor Avenue, Racine, WI 53403 2015-08-10
1457780496 Pheynell Branch Counselor 1650 Wasington Ave, Racine, WI 53403 2013-11-08
1811278054 Michelle Gloria Parisot Psychologist 1320 Wisconsin Ave., Racine, WI 53403 2011-09-01
1720372022 Katie Hagen Social Worker 1717 Taylor Avenue, Racine, WI 53403 2011-06-03
1043431570 Rita S Harris Physical Therapy Assistant Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 2007-05-01
1336281336 Linda J Hockensmith Occupational Therapist 4214 Sheridan Road, Racine, WI 53403 2007-02-13
1851447387 Richard John Kemper Dentist 1509 Washington Ave, Racine, WI 53403 2007-01-26
1689760332 Lester Leslie Higgenbottom Counselor 1820 Arlington Ave, Racine, WI 53403 2006-10-04
1114942315 Access Medical Center, LLC Clinic/Center 4216 Old Green Bay Rd, Racine, WI 53403 2006-07-12
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962973479 Karen Seif Social Worker 1818 Wisconsin Ave, Racine, WI 53403-2771 2018-12-10
1720372022 Katie Hagen Social Worker 1717 Taylor Avenue, Racine, WI 53403 2011-06-03
1538485834 Marianne T. Jensen Social Worker 2310 N Main St, Racine, WI 53402-4450 2010-04-12
1992916910 Karen Carnabucci Social Worker 932 Lake Ave, Lake House Health & Learning Center, Racine, WI 53403-1519 2007-05-24
1740496868 Linda Marie Angel Social Worker 420 Seventh St, Racine, WI 53403-1222 2007-05-15
1962525683 Thomas Karl Galten Social Worker 420 7th St, Racine, WI 53403-1222 2007-04-09
1225191158 Linda Susan Noer Social Worker 2219 Washington Ave, Racine, WI 53405-3551 2006-12-19
1417018664 Angela Maria Martin Social Worker 6021 Durand Avenue, Suite 300, Racine, WI 53406 2006-12-12
1023027414 Kathleen Fenno Mcnulty Social Worker 1220 Mound Ave, Suite 301, Racine, WI 53404-3350 2006-08-05
1457328643 Elizabeth Hanson Will Social Worker 700 Villa Street, Racine, WI 53403 2006-03-07
Find all providers in RACINE

Competitor

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City RACINE
Zip Code 53403

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Dataset Information

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.

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