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

Reyna Cassidy Dominczak

Individual provider Social Worker · NPI 1497686901

Reyna Cassidy Dominczak is a Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1115 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone: (616) 456-6571
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1497686901
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

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