IndividualActive
Michael Reynolds
NPI 1790289536 · Clinical Social Worker · Enfield, CT
Provider details
- NPI number
- 1790289536
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 008747 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Phoenix Ave
Enfield, CT 06082-4471
Phone: (860) 763-7600
Street-level locationGet directions
Mailing address
64 Alcott Dr
Windsor, CT 06095-2606
Additional practice locations (1)
- 200 Hillside Cir Ste 107West Springfield, MA 01089-4679Phone: (413) 536-0503
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2018-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.