Kathleen M. Reddish, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

00072544 Issued in NY

Practice address

3370 Delaware Ave
Kenmore, NY 14217-1425

Phone

(716) 877-8822

Fax

(716) 874-5245

NPI assigned

May 5, 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1639127236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WASHINGTON ST",
            "address_2": "MANAGED CARE DEPARTMENT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031711",
            "telephone_number": "716-856-4494",
            "fax_number": "716-842-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171425",
            "telephone_number": "716-877-8822",
            "fax_number": "716-874-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDISH",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "00072544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030241501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sharon L Reboy
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• Emma Jane Rehrauer, DPT
• Carol Reichert
• Alana Jade Reimondo, MS, OTR/L

• Social Worker in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.