Organization Active NPI

Tracey E Reed

  • Clinical Social Worker
  • Irondequoit, NY
National Provider Identifier
1831788678
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRACEY E REED
Practice address
485 Titus Ave Ste F1
Irondequoit, NY 14617-3535
Phone
(585) 794-7378
NPI assigned
Jan 15, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Tracey Elizabeth Reed, LCSW-RNPI 1447468467
Title
Licensed Clinical Social Worker
Phone
(585) 794-7378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

485 Titus Ave Ste F1
Irondequoit, NY 14617-3535

Mailing address

94 Brush Hollow Rd
Rochester, NY 14626-3004
Phone (585) 794-7378

National Provider Directory

National Provider Directory

Locations

485 Titus Ave
Ste F1
Irondequoit, NY 14617
Phone (585) 794-7378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1831788678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BRUSH HOLLOW RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263004",
            "telephone_number": "585-794-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 TITUS AVE STE F1",
            "city": "IRONDEQUOIT",
            "state": "NY",
            "postal_code": "146173535",
            "telephone_number": "585-794-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY E REED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "585-794-7378",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondequoit, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.