Renata Hadis, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00667700 Issued in NJ

Legal business name

RENATA HADIS, LCSW, LLC

Practice address

600 Upper Mountain Ave
Montclair, NJ 07043-1623

Phone

(973) 746-7029

NPI assigned

Mar 30, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Renata Hadis, LCSW

Title

Owner

Phone

(973) 746-7029

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1073976841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UPPER MOUNTAIN AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431623",
            "telephone_number": "973-746-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UPPER MOUNTAIN AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431623",
            "telephone_number": "973-746-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATA HADIS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "HADIS",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-746-7029",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00667700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.