Ms Jennifer Theo Reardon, LCSW | |
191 Broadway, Amityville, NY 11701-2790 | |
(631) 264-0058 | |
(631) 264-0056 |
Full Name | Ms Jennifer Theo Reardon |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 19 Years |
Location | 191 Broadway, Amityville, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346380276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 081336 (New York) | Primary |
1041C0700X | Social Worker - Clinical | 072012 (New York) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Service League Inc | 4284524448 | 45 |
Entity Name | Family Service League Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Theo Reardon, LCSW 45 Lawrence Ave, Holbrook, NY 11741-1019 Ph: (631) 741-8896 | Ms Jennifer Theo Reardon, LCSW 191 Broadway, Amityville, NY 11701-2790 Ph: (631) 264-0058 |
Jennifer Riley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 77 Broadway 7, Amityville, NY 11701 Phone: 516-761-0414 | |
Jacqueline Rosario, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 118 Kenneth Ct, Amityville, NY 11701 Phone: 718-926-8550 | |
Miss Theresa Valerie Eads, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Sunrise Hwy, Amityville, NY 11701 Phone: 631-608-5308 Fax: 631-608-5264 | |
Dawn Marie Brennan Tesoro, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Dixon Ave, Amityville, NY 11701 Phone: 631-782-6503 | |
Judith Kitzes, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Dowsing Pl, Amityville, NY 11701 Phone: 631-598-0147 Fax: 631-598-4823 | |
Ms. Shirley Eason Cole, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 835 Broadway, Amityville, NY 11701 Phone: 631-245-7392 Fax: 631-608-5261 | |
Ms. Agnes Magdalena Ammirati, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Dixon Ave, Amityville, NY 11701 Phone: 631-782-6536 Fax: 631-842-7977 |