Individual provider Active NPI

Stacey Marie Reed-Macgregor, MSW-LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1033534961
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081629 Issued in NY
Practice address
888 Long Pond Rd
Rochester, NY 14626-1111
Phone
(585) 730-7777
Fax
(585) 730-7779
NPI assigned
Mar 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 081629 NY Primary

Addresses

Primary practice location

888 Long Pond Rd
Rochester, NY 14626-1111

Mailing address

888 Long Pond Rd
Rochester, NY 14626-1111
Phone (585) 730-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
081629NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Petra Place Counseling Services Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1033534961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261111",
            "telephone_number": "585-730-7777",
            "fax_number": "585-730-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261111",
            "telephone_number": "585-730-7777",
            "fax_number": "585-730-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-MACGREGOR",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "credential": "MSW-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.