Jessica A Reed, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1020965 Issued in MA

Practice address

8 Old Greendale Ave
Needham, MA 02492-4424

Phone

(508) 930-2342

Fax

(781) 449-6210

NPI assigned

May 23, 2005

Reactivated

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 17, 2019 through Jul 17, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184627184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 OLD GREENDALE AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024924424",
            "telephone_number": "508-930-2342",
            "fax_number": "781-449-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 OLD GREENDALE AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024924424",
            "telephone_number": "508-930-2342",
            "fax_number": "781-449-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P07529",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley L Rattet, PHD
• Bailey Rayment, M.S., BCBA
• David R. Raymond, DNP, FNP
• Carrie Berube Reddish, D.M.D
• Christina Redman
• Wendy Reeds
• Tanya Arvind Rege, M.D.
• Register Therapeutic Alliance
• Rehabcare Group East, LLC (RehabCare)
• Elise P. Naventi Reid, MSW, LICSW

• Clinical Social Worker in Needham, MA
• Providers in Needham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.