Andrew Linder Reidenbach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

094829 Issued in NY

Practice address

271 W 73Rd St Apt 3a
New York, NY 10023-8806

Phone

(646) 787-6966

NPI assigned

Aug 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Midtown Mind Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1023856861
  NPD Authorized official

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1154977247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 W 73RD ST APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238806",
            "telephone_number": "646-787-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 W 73RD ST APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238806",
            "telephone_number": "646-787-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDENBACH",
        "first_name": "ANDREW",
        "middle_name": "LINDER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Reid
• Tiffany Reid, PNP
• Tirissa Reid, M.D.
• Wanda Reid, RPH
• Yvette Reid
• Diane L Reidy-Lagunes, MD, MS
• Deirdre Reidy, MD
• Marilyn P. Reidy, NP
• Maureen Reidy, NP
• Taylor Reif, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.