Christine Marie Reardon, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070866-1 Issued in NY

Practice address

4190 Sunrise Hwy Ste 1B
Massapequa, NY 11758-5305

Phone

(631) 921-6314

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1235244682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 KROLL RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541608",
            "telephone_number": "631-921-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 SUNRISE HWY STE 1B",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585305",
            "telephone_number": "631-921-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070866-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Annette Ratway, LPN
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• Raymond N Cecora PT PC
• Michele Read, PH. D.
• Real You Nutrition PLLC
• Recco Home Care Service, Inc
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• Patricia Marie Reda
• Lauren Reek, DOULA
• Stephanie Antoinette Reip

• Clinical Social Worker in Massapequa, NY
• Providers in Massapequa, 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 Aug 14, 2012; 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.