Robert C Reda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079108-1 Issued in NY

Practice address

460 W 34TH St
11TH Floor
New York, NY 10001-2320

Phone

(347) 547-7211

Fax

(347) 547-7197

NPI assigned

Jun 14, 2007

Last updated

Nov 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1336343169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MANOR HOUSE DR",
            "address_2": "G17",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222523",
            "telephone_number": "914-674-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 34TH ST",
            "address_2": "11TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012320",
            "telephone_number": "347-547-7211",
            "fax_number": "347-547-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDA",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079108-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "072839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Moon Physical Therapy P.C.
• Red Ribbon Pharmacy Inc
• Red Road Medical PC
• Hamid Reda, PHARMD
• Richard Joseph Reda, DPT
• Rosanna Reda, RPA-C
• Sarah Alicia Reda
• Lisa Redavid, DPT
• Natalie Redcross, PHD
• Butler Redd III, DDS

• 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 Nov 15, 2011; 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.