Individual provider Active NPI

Felicia Renee Reed-Watt, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1174770747
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082514-1 Issued in NY
Practice address
25 Canterbury Rd Ste 308
Rochester, NY 14607-3403
Phone
(585) 415-8260
Fax
(585) 442-0815
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 072929 NY
Social Worker 104100000X 072929 NY
Clinical Social Worker 1041C0700X 082514-1 NY Primary

Addresses

Primary practice location

25 Canterbury Rd Ste 308
Rochester, NY 14607-3403

Mailing address

P.O Box 270356
Rochester, NY 14627-0356
Phone (585) 415-8260

Other names 1

  • Ms. Felicia Renee Reed Former name

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
I20180711000691 NY Practitioner - Clinical Social Worker 1850647538 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072929NYMDMental Health Counselor
082514-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Felicia Reed-Watt, LCSW, PLLC Clinical CurrentSince Nov 7, 2025 Accepting new patients

Locations

25 Canterbury Rd
Ste 100
Rochester, NY 14607
Phone (585) 749-4868

25 Canterbury Rd
Ste 308
Rochester, NY 14607
Phone (585) 415-8260

25 Canterbury Rd
Rochester, NY 14607
Phone (585) 454-9334

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1174770747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 270356",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146270356",
            "telephone_number": "585-415-8260",
            "fax_number": "585-442-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CANTERBURY RD STE 308",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073403",
            "telephone_number": "585-415-8260",
            "fax_number": "585-442-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-WATT",
        "first_name": "FELICIA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "072929",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072929",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082514-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "REED",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.