MEDICARE: JAY ALEXANDRA REED LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	1041C0700X	Clinical Social Worker	SW131644	FL

General Provider Information

NPI Number	:	1982174892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY ALEXANDRA REED LCSW

Provider Business Mailing Address
First Line	:	5285 RIVER BLOSSOM LN
Second Line	:
City	:	FORT DENAUD
State	:	FL
Zip	:	33935-0604
Country	:	US
Telephone Number	:	239-784-3211
Fax Number	:

Provider Business Practice Location Address
First Line	:	2586 STATE HWY 731
Second Line	:
City	:	LABELLE
State	:	FL
Zip	:	33935
Country	:	US
Telephone Number	:	863-675-3490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2018
Last Update Date	:	01/02/2025

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