Organization Active NPI

Jeanne a. Reedy, LLC

  • Clinical Social Worker
  • Stevensville, MD
National Provider Identifier
1215349345
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12099 Issued in MD
Legal business name
JEANNE A. REEDY, LLC
Practice address
479 Creeks End LN
Stevensville, MD 21666-2572
Phone
(240) 462-4448
Fax
(410) 643-3205
NPI assigned
May 23, 2014
Last updated
May 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Ms. Jeanne A Reedy, MSW
Title
Sole Member
Phone
(240) 462-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12099 MD Primary

Addresses

Primary practice location

479 Creeks End LN
Stevensville, MD 21666-2572

Mailing address

479 Creeks End LN
Stevensville, MD 21666-2572
Phone (240) 462-4448

National Provider Directory

National Provider Directory

Locations

7051 Fain Park Dr
Ste 200
Montgomery, AL 36117
Phone (240) 462-4448

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1215349345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 CREEKS END LN",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662572",
            "telephone_number": "240-462-4448",
            "fax_number": "410-643-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 CREEKS END LN",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662572",
            "telephone_number": "240-462-4448",
            "fax_number": "410-643-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE A. REEDY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "240-462-4448",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.