Jacqueline Reid, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

084823-1 Issued in NY

Practice address

59 Elm St
New Rochelle, NY 10805-2402

Phone

(914) 330-9378

NPI assigned

Dec 19, 2018

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Planned Care

  • Home Health Aide
  • New Rochelle, NY
  • NPI 1396523338
  NPD Authorized official

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1912479619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ELM ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052402",
            "telephone_number": "914-330-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ELM ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052402",
            "telephone_number": "914-330-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "084823-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Reed
• Regal Healthcare Alf Holdings LLC
• Susan Regan
• Dawn R Reich, CCC-SLP
• Dominic Reid, LMSW
• Anthony Joseph Reino, MD
• Germaine J Reitman
• Raeven Steele Reivers, ATC
• Kristina Remy
• Penny Resnick-Graulich, DMD

• Mental Health Counselor in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.