1. Home
  2. Directory
  3. Connecticut
  4. Wallingford
  5. Social Worker
  6. NPI Profile

MR. MICHAEL REYNOLDS LCSW
NPI 1255083788
Social Worker - Clinical in Wallingford, CT

Active since January 26, 2022Opted out of Medicare · through Sep 8, 2026
81.53/100
CMS Quality Rating
25 SUMMIT DR, WALLINGFORD, CT 06492(203) 415-5995 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Reynolds Lcsw NPPES

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

MR. MICHAEL REYNOLDS LCSW (NPI 1255083788) is an individual clinical provider in Wallingford, Connecticut, licensed in Connecticut (11877) and active in the NPI registry since January 2022. He has opted out of Medicare through September 8, 2026.

NPPES Registry Identity

NPI1255083788
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL REYNOLDSCredential: LCSW
Location Address25 SUMMIT DRWallingford, CT 06492-3951
Mailing Address25 Summit DrWallingford, CT 06492-3951 · (203) 415-5995
Phone(203) 415-5995
Sole ProprietorYes
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1255083788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 11877
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.
25 SUMMIT DR, Wallingford, CT 06492
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Michael Reynolds Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 8, 2024 through September 8, 2026.

Opt-Out Effective DateSeptember 8, 2024
Opt-Out In Effect ThroughSeptember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.96
Promoting Interoperability88
Improvement Activities40
Cost54.38

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 Michael Reynolds's NPI number?

The NPI number for Michael Reynolds is 1255083788. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Where is Michael Reynolds located?

Michael Reynolds practices at 25 Summit Dr, Wallingford, CT 06492. The listed phone number is (203) 415-5995.

What is Michael Reynolds's specialty?

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

Is Michael Reynolds enrolled in Medicare?

No. Michael Reynolds has opted out of Medicare through September 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michael Reynolds was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.