Provider Demographics
NPI:1336430503
Name:REYNOLDS, KATHRYN ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 FORREST OAKS DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3965
Mailing Address - Country:US
Mailing Address - Phone:615-739-2276
Mailing Address - Fax:
Practice Address - Street 1:2021 CHURCH ST STE 800
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2062
Practice Address - Country:US
Practice Address - Phone:615-385-4090
Practice Address - Fax:615-385-0138
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN55071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical