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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLEY LYNN REYNOLDS LCSW
NPI 1902180813
Social Worker - Clinical in Windsor, CO

Active since October 11, 2011Opted out of Medicare · through Apr 1, 2028
1540 MAIN ST STE 218-158, WINDSOR, CO 80550(602) 402-1711 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 20, 2026, Apr 23, 2017 (2 updates tracked since 2017).

About Kelley Lynn Reynolds Lcsw NPPES

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

KELLEY LYNN REYNOLDS LCSW (NPI 1902180813) is an individual clinical provider in Windsor, Colorado, licensed in Colorado (9931140) and active in the NPI registry since October 2011. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1902180813
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLEY LYNN REYNOLDSCredential: LCSW
Location Address1540 MAIN ST STE 218-158Windsor, CO 80550-7913
Mailing Address1540 Main St Ste 218-158Windsor, CO 80550-7913 · (602) 402-1711 · Fax (480) 804-0083
Phone(602) 402-1711
Sole ProprietorNo
Enumeration DateOctober 11, 2011
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1902180813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CO · 9931140✔ Licensed in AZ · LCSW-15386
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.
1540 MAIN ST STE 218-158, Windsor, CO 80550
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Other Names 1

Former Name (1)Kelley Asburry Lcsw

Other Identifiers 2

Medicaid589561802MD
Medicaid978700AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kelley Lynn 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Kelley Reynolds's NPI number?

The NPI number for Kelley Reynolds is 1902180813. It was assigned to this individual provider in the NPPES registry on October 11, 2011. The provider is also known as Kelley Asburry Lcsw.

Where is Kelley Reynolds located?

Kelley Reynolds practices at 1540 Main St Ste 218-158, Windsor, CO 80550. The listed phone number is (602) 402-1711.

What is Kelley Reynolds's specialty?

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

Is Kelley Reynolds enrolled in Medicare?

No. Kelley Reynolds has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelley Reynolds accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Kelley Reynolds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelley Reynolds was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.