National Provider Identifier

Jaquaia Reid, LMSW

Jaquaia Reid, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 256-4422.

NPI 1376250043Ithaca, NYSocial Worker

Profile Overview

NPI
1376250043
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
November 02, 2022
Last Updated
November 02, 2022

Practice Location

  • 121 W Court St
  • Ithaca, NY 14850-4105

Phone: (607) 256-4422

Mailing Address

  • 236 Pennsylvania Ave
  • Ithaca, NY 14850-5926

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1376250043
Entity Type
Individual
Last Name
Reid
First Name
Jaquaia
Credential
LMSW
Mailing Street Address
236 Pennsylvania Ave
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5926
Mailing Country
US
Mailing Phone
(917) 340-7077
Practice Street Address
121 W Court St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4105
Practice Country
US
Practice Phone
(607) 256-4422
Enumeration Date
November 02, 2022
Last Updated
November 02, 2022
Sex
Female
Sole Proprietor
No
Certification Date
November 02, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)