SALLY ANN REYNOLDS LCSW
NPI 1750486353
Social Worker - Clinical in Statesville, NC

Active since September 14, 2006
520 VALLEY ST, STATESVILLE, NC 28677(800) 632-6074(866) 341-7509 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sally Ann Reynolds Lcsw NPPES

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

SALLY ANN REYNOLDS LCSW (NPI 1750486353) is an individual clinical provider in Statesville, North Carolina, licensed in North Carolina (C005057) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1750486353
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSALLY ANN REYNOLDSCredential: LCSW
Location Address520 VALLEY STStatesville, NC 28677-7935
Mailing AddressPo Box 10414Largo, FL 33773-0414 · (800) 632-6074
Fax(866) 341-7509
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1750486353 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 NC · C005057
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.
520 VALLEY ST, Statesville, NC 28677

Other Names 1

Former Name (1)Sally Ann Funkhouser

Other Identifiers 2

Medicaid6106252NC
Medicare ID-Type Unspecified2873732NC · Provider #

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
520 VALLEY ST
STATESVILLE, NC 28677
Skilled Nursing Facility
520 VALLEY ST
STATESVILLE, NC 28677
Occupational Therapist
520 VALLEY ST
STATESVILLE, NC 28677
Skilled Nursing Facility
520 VALLEY ST
STATESVILLE, NC 28677
Skilled Nursing Facility
520 VALLEY ST
STATESVILLE, NC 28677

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 Sally Reynolds's NPI number?

The NPI number for Sally Reynolds is 1750486353. It was assigned to this individual provider in the NPPES registry on September 14, 2006. The provider is also known as Sally Ann Funkhouser.

Where is Sally Reynolds located?

Sally Reynolds practices at 520 Valley St, Statesville, NC 28677. The listed phone number is (800) 632-6074.

What is Sally 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 Sally Reynolds was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.