Healthcare Provider Details

I. General information

NPI: 1033709407
Provider Name (Legal Business Name): JENNA NICOLE REED LCSW, AAT-I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4007 HARLEM RD
AMHERST NY
14226-4707
US

IV. Provider business mailing address

4007 HARLEM RD
AMHERST NY
14226-4707
US

V. Phone/Fax

Practice location:
  • Phone: 716-475-0928
  • Fax:
Mailing address:
  • Phone: 716-975-9196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102525
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102525-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: