Organization Active NPI

Kelsey G Reeder, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1083229660
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KELSEY G REEDER, LCSW
Doing business as
Kelsey G Reeder, LCSW
Practice address
1255 Amsterdam Ave FL 9
New York, NY 10027-5927
Phone
(347) 560-0216
NPI assigned
Sep 10, 2020
Last updated
May 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Kelsey Glenn Reeder, LCSW-RNPI 1831645175
Title
Psychodynamic Psychotherapist
Phone
(347) 560-0216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1255 Amsterdam Ave FL 9
New York, NY 10027-5927

Mailing address

1255 Amsterdam Ave FL 9
New York, NY 10027-5927
Phone (347) 560-0216

Other identifiers 1

IdentifierTypeStateIssuer
1831645175OtherNYNPI

Other names 1

  • Kelsey G Reeder, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

1255 Amsterdam Ave
Fl 9
New York, NY 10027
Phone (347) 560-0216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1083229660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 AMSTERDAM AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275927",
            "telephone_number": "347-560-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 AMSTERDAM AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275927",
            "telephone_number": "347-560-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY G REEDER, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PSYCHODYNAMIC PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "347-560-0216",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831645175",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelsey G Reeder, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.