Individual provider Active NPI

Jennifer Reedy, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1144087602
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
115082 Issued in NY
Practice address
303 Main Street, Dunkirk, Ny 14048
New York, NY 14048
Phone
(716) 413-4661
Fax
(716) 203-7042
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 115082 NY Primary

Addresses

Primary practice location

303 Main Street, Dunkirk, Ny 14048
New York, NY 14048

Mailing address

311 E 175TH St
Bronx, NY 10457-5859
Phone (718) 960-7522

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
115082NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rican Organization to Motivate Enlighten and Serve Addicts, Inc CurrentSince Mar 3, 2024 Accepting new patients
Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, Inc PastSince Mar 3, 2024 Accepting new patients

Locations

311 E 175th St
Bronx, NY 10457

303 Main St
Dunkirk, NY 14048
Phone (716) 413-4661

Organizations & group practices 2

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1144087602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 175TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575859",
            "telephone_number": "718-960-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAIN STREET, DUNKIRK, NY 14048",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "14048",
            "telephone_number": "716-413-4661",
            "fax_number": "716-203-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "115082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 1, 2024; 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.