Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gregory Homan Reynolds, LICSW, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760750921

Mr. Gregory Homan Reynolds, LICSW, LADC is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2011, 15 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group. Licensed in Minnesota and New York.

Years since qualifying
15
Licensed in
MN, NY
In the registry since
2011
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

451 Lexington Pkwy N
Saint Paul, MN 55104-4636
Phone: (651) 280-2310
Fax: (651) 280-3995
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 28771 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 24431 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 301886 (MN)

Record details

NPI number1760750921
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , LADC
Sole proprietorNo
NPI enumeratedDecember 2, 2011
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated

Other providers in Saint Paul