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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REYNA CASSIDY DOMINCZAK
NPI 1497686901
Social Worker in Grand Rapids, MI

Active since May 26, 2026
1115 BALL AVE NE, GRAND RAPIDS, MI 49505(616) 456-6571 Get Directions Write a Review

NPPES record added: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reyna Cassidy Dominczak NPPES

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

REYNA CASSIDY DOMINCZAK (NPI 1497686901) is an individual social worker in Grand Rapids, Michigan and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1497686901
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameREYNA CASSIDY DOMINCZAK
Location Address1115 BALL AVE NEGrand Rapids, MI 49505-5904
Mailing Address6744 Campau Heaven CtAlto, MI 49302-8930 · (616) 375-7292
Phone(616) 456-6571
Sole ProprietorYes
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1497686901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1115 BALL AVE NE, Grand Rapids, MI 49505
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE MARIE HENSON BSW
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 240-1990
KATHARINE ELISABETH DANIELS
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
TODD JOHNSON
Counselor (Addiction (Substance Use Disorder))
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
JOHN HUNT
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-7775
TAYLOR BERGBOWER
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-1443
MRS. KELLY SUE BOPRIE LMSW
Social Worker (Clinical)
1115 BALL AVE NE, BUILDING C
GRAND RAPIDS, MI 49505
Kent County (616) 459-7215
KATHLEEN MONROE
Counselor
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
EMILY SALZMAN LMSW
Social Worker (Clinical)
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 451-3001

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 Reyna Dominczak's NPI number?

The NPI number for Reyna Dominczak is 1497686901. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Reyna Dominczak located?

Reyna Dominczak practices at 1115 Ball Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 456-6571.

What is Reyna Dominczak's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Reyna Dominczak 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.