Individual
MS. CHRISTINA NICOLE REYNOLDS
Active
Individual
MS. CHRISTINA NICOLE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018045156
MO
1041C0700X
Clinical Social Worker
4548
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110661032
MEDICARE PTAN
KS
05
—
200726410B
—
KS
Enumeration date
06/03/2011
Last updated
03/20/2026
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