Rekishia Lashon McMillan, MSW, CINHC, CMHIMP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SW05277100 Issued in NJ

Practice address

405 Daffodil Dr
Jackson, NJ 08527-4125

Phone

(732) 966-5809

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rekishia Lashon Beans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1225504103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 DAFFODIL DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274125",
            "telephone_number": "732-966-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 DAFFODIL DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274125",
            "telephone_number": "732-966-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "REKISHIA",
        "middle_name": "LASHON",
        "name_prefix": "Mrs.",
        "credential": "MSW, CINHC, CMHIMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SW05277100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REKISHIA",
            "last_name": "BEANS",
            "middle_name": "LASHON",
            "credential": "MSW, CINHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shoshana Mayerfeld, FNP-C
• Allison McCann
• Melissa McCulloch, BCBA
• Andrew Dennis McDonald
• Staci McGlade, BCBA
• Darrell McQueen
• Alexis Medina, DPT
• Josue Gabriel Medina
• Reva Mehl, OTR
• Sheyly Mejia

• Clinical Social Worker in Jackson, NJ
• Providers in Jackson, 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 Jun 17, 2020; 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.