Provider Demographics
NPI:1972334621
Name:REYNIK, MADISON MARJORIE (LCSW-A)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:MARJORIE
Last Name:REYNIK
Suffix:
Gender:
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 GREYFRIARS LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8627
Mailing Address - Country:US
Mailing Address - Phone:919-608-7738
Mailing Address - Fax:
Practice Address - Street 1:800 W WILLIAMS ST STE 280
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5203
Practice Address - Country:US
Practice Address - Phone:919-800-8114
Practice Address - Fax:919-355-5694
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical