Reena Jayant Johnson, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05716800 Issued in NJ

Practice address

160 Route 9
Bayville
Bayville, NJ 08721-1229

Phone

(732) 349-1977

Fax

(732) 349-6702

NPI assigned

May 8, 2017

Last updated

May 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ocean Mental Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayville, NJ
  • NPI 1508884347
  Medicare reassignment NPD

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1417483637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RT 9",
            "address_2": "OCEAN MENTAL HEALTH SERVICES",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "08721",
            "telephone_number": "732-349-1977",
            "fax_number": "732-349-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROUTE 9",
            "address_2": "BAYVILLE",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211229",
            "telephone_number": "732-349-1977",
            "fax_number": "732-349-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REENA",
        "middle_name": "JAYANT",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00258600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05716800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210722291",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jersey Shore Foot & Ankle, P.C.
• Jersey Shore Foot and Leg Center PC
• Jessy Patel 2 LLC
• Jessy Patel 2 LLC (Bayville Pharmacy)
• Joey's Quest, LLC
• Russell Johnson
• Laurel Jenine Juliano, LCADC, LAP
• Annie Lyn Kalbach, PT, DPT
• Jacqueline Amanda Kaltenbach, DOCTOR OF PHARMACY
• Peter Kammerman, D.D.S

• Clinical Social Worker in Bayville, NJ
• Providers in Bayville, 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 May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.