Active NPI
Jennifer Reedy, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1144087602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 115082
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 115082 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts, Inc | Current | Accepting new patients | |
| Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, Inc | Past | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Dunkirk, NY
- NPI 1558028126
-
- Case Management Agency
- Bronx, NY
- NPI 1821466525
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.