MRS. LISA DENISE REYNOLDS (LCSW) – Clinical Social Worker, NPI 1952300568

MRS. LISA DENISE REYNOLDS (LCSW) is a healthcare provider. based in Williamsport, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CW012595 (PA). The NPI Number for MRS. LISA DENISE REYNOLDS (LCSW) is 1952300568

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA DENISE REYNOLDS (LCSW)
NPI
1952300568
Phone
Not provided
Address
1201 GRAMPIAN BLVD
Enumeration Date
15 July 2005
Last Update Date
1 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
8123919131
Group Practice PAC ID
2264336460
Professional Enrollment ID
I20040322000132
Address ID
PA177013198WI700XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
lisa.d.reynolds@upmcdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,438 CLINICAL SOCIAL WORKER in PA

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Provider Addresses for MRS. LISA DENISE REYNOLDS (LCSW)

  • 1201, Grampian Boulevard, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    WILLIAMSPORT, PA 177011900

    Phone:

    Type: Mailing

  • Divine Providence Hospital, 1100, Grampian Boulevard, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    WILLIAMSPORT, PA 177011907

    Phone: (570) 320-7525

    Fax: (570) 320-7484

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040322000132IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour13217$0
90834Psychotherapy, 45 minutes3013$0
View full utilization report →

Insurance plans in this area (ZIP 17701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264336460View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)PA
-PA
Certified Registered Nurse Anesthetist (Crna)PA
-ME
Pulmonary Disease, Critical Care (Intensivists)PA
-PA
Vascular SurgeryNY
Cardiovascular Disease (Cardiology)NM
Certified Registered Nurse Anesthetist (Crna)PA
Emergency MedicinePA

Reviews

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Frequently asked questions

Can I verify MRS. LISA DENISE REYNOLDS (LCSW) with an NPI only?
You can start verification with NPI 1952300568 for MRS. LISA DENISE REYNOLDS (LCSW), then check state licensing separately.
Does the file indicate MRS. LISA DENISE REYNOLDS (LCSW) is practicing under active NPI?
Directory data currently reports MRS. LISA DENISE REYNOLDS (LCSW) as active.
What is MRS. LISA DENISE REYNOLDS (LCSW) best known for clinically?
Directory data describes MRS. LISA DENISE REYNOLDS (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. LISA DENISE REYNOLDS (LCSW) on a map?
Expect Williamsport, Pennsylvania as a primary anchor for MRS. LISA DENISE REYNOLDS (LCSW) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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