Individual provider Active NPI

Jenna Nicole Reed, LCSW, AAT-I

  • Clinical Social Worker
  • Amherst, NY
National Provider Identifier
1033709407
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102525 Issued in NY
Practice address
4007 Harlem Rd
Amherst, NY 14226-4707
Phone
(716) 475-0928
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 102525 NY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 102525-01 NY

Addresses

Primary practice location

4007 Harlem Rd
Amherst, NY 14226-4707

Mailing address

4007 Harlem Rd
Amherst, NY 14226-4707
Phone (716) 975-9196

Other practice location 1

1 Delaware Rd
Kenmore, NY 14217-2743
Phone (716) 857-1373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529000153 NY Practitioner - Clinical Social Worker 9234609447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Connections Psychiatry PLLCGroup PAC ID 4385091347, 8 clinicians

Practice addresses (Care Compare)

8203 Main St
Suite 2
Williamsville, NY 14221-6051
Phone (716) 219-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17590/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1033709407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264707",
            "telephone_number": "716-975-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264707",
            "telephone_number": "716-475-0928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Delaware Rd",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "NY",
            "postal_code": "142172743",
            "country_code": "US",
            "telephone_number": "716-857-1373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "credential": "LCSW, AAT-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102525",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102525-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.