Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER THEO REARDON, LCSW
Active Sole ProprietorMS. JENNIFER THEO REARDON, LCSW is a Clinical Social Worker healthcare provider located in AMITYVILLE, New York. NPI 1346380276 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · AMITYVILLE, NY
Registration Details
- NPI Number
- 1346380276
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2007 (19.493576228866 yrs)
- Last Updated
- Oct 29, 2015
- Licenses
-
081336 (NY)072012 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
191 BROADWAYAMITYVILLE, NY, 117012790Browse NY providers · Browse ZIP 11701
- Phone
- 6312640058
- Fax
- 6312640056
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in AMITYVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| CAROLYN JEANNE FARELLA | LCSW | 1255321741 |
| MS. JENNIFER MARIA LOPEZ | DCSW | 1902831852 |
| ELISSA GRUNBLATT | LCSW-R | 1417961426 |
| MRS. JOAN BRANDENBURG | LCSW | 1366459042 |
| LINDA NICHOLSON | LCSW | 1245346667 |
| DONNAMARIE DZIKOWSKI | LCSW | 1306941729 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.