Healthcare Provider Details

I. General information

NPI: 1437400140
Provider Name (Legal Business Name): ERIN T REDDINGER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2012
Last Update Date: 07/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 HUMBOLDT ST STE 100
ROCHESTER NY
14610
US

IV. Provider business mailing address

7945 MACARTHUR BLVD STE 214
CABIN JOHN MD
20818-1634
US

V. Phone/Fax

Practice location:
  • Phone: 585-546-1960
  • Fax: 585-546-1963
Mailing address:
  • Phone: 301-987-7284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number086065-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: