MS. JENNIFER THEO REARDON LCSW
NPI 1346380276
Social Worker - Clinical in Amityville, NY

Q: What is Jennifer Reardon's NPI number?

The NPI number for Jennifer Reardon is 1346380276. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Q: What is Jennifer Reardon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Reardon was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment

191 BROADWAY, AMITYVILLE, NY 11701(631) 264-0058(631) 264-0056 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Jennifer Theo Reardon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER THEO REARDON LCSW (NPI 1346380276) is an individual clinical provider in Amityville, New York, licensed in New York (081336) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1346380276

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. JENNIFER THEO REARDONCredential: LCSW

Location Address191 BROADWAYAmityville, NY 11701-2790

Mailing Address45 Lawrence AveHolbrook, NY 11741-1019 · (631) 741-8896

Phone(631) 264-0058

Fax(631) 264-0056

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 8, 2007

Last NPPES UpdateOctober 29, 2015

✔ NPI 1346380276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in NY · 081336✔ Licensed in NY · 072012

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

191 BROADWAY, Amityville, NY 11701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer Theo Reardon Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365662442

PECOS Enrollment IDI20141014000293

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Reardon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Service League, Inc.

12 mi

Community/Behavioral Health

790 PARK AVE
Huntington, NY 11743

Reassigned Medicare billing, New York enrollment
122 clinicians in this Medicare group

NPI 1528093242 (631) 427-3700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853

Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.

294 services25 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

94 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMAD FAHMY MA, MBA

Counselor (Mental Health)