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NICOLE MARIE REYNOLDS
NPI 1134966724
Social Worker - Clinical in Burtchville, MI

Active since July 10, 2024
6063 EASTWOOD DR, BURTCHVILLE, MI 48059(810) 841-4108 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2026, Jul 10, 2024 (2 updates tracked since 2024).

About Nicole Marie Reynolds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE REYNOLDS (NPI 1134966724) is an individual clinical provider in Burtchville, Michigan, licensed in Michigan (6851121686) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1134966724
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MARIE REYNOLDS
Location Address6063 EASTWOOD DRBurtchville, MI 48059-2536
Mailing Address6063 Eastwood DrBurtchville, MI 48059-2536 · (810) 841-4108
Phone(810) 841-4108
Sole ProprietorYes
Enumeration DateJuly 10, 2024
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1134966724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6851121686
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.
Also ListedDoulaTaxonomy 374J00000X
6063 EASTWOOD DR, Burtchville, MI 48059
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Reynolds's NPI number?

The NPI number for Nicole Reynolds is 1134966724. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Nicole Reynolds located?

Nicole Reynolds practices at 6063 Eastwood Dr, Burtchville, MI 48059. The listed phone number is (810) 841-4108.

What is Nicole Reynolds's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Nicole Reynolds was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.