Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jennifer Theo Reardon, LCSW

Individual provider Clinical Social Worker · NPI 1346380276

MS. Jennifer Theo Reardon, LCSW is a Clinical Social Worker in Amityville, New York. Qualified in 2005, 21 years ago. Practices with Family Service League Inc, a 47-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

191 Broadway
Amityville, NY 11701-2790
Phone: (631) 264-0058
Fax: (631) 264-0056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 081336 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 072012 (NY)

Record details

NPI number1346380276
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 8, 2007
Last updated in NPPESOctober 29, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Family Service League Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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