Provider Demographics
NPI:1114904737
Name:REEDER, JANE F (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:F
Last Name:REEDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 W 255TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2405
Mailing Address - Country:US
Mailing Address - Phone:718-884-1614
Mailing Address - Fax:
Practice Address - Street 1:366 W 255TH ST
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:NY
Practice Address - Zip Code:10471-2405
Practice Address - Country:US
Practice Address - Phone:718-884-1614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR017129-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker