Active NPI
Reena Faye Green-Josoff, LCSW
- Clinical Social Worker
- Harrisville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-26792
- Practice address
- 811 N Harrisville Rd
Harrisville, UT 84404-3537 - Phone
- (013) 991-8188
- Fax
- (801) 782-8412
- NPI assigned
- Aug 12, 2006
- Last updated
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-26792 | ID | Primary |
Addresses
Primary practice location
811 N Harrisville Rd
Harrisville, UT 84404-3537
Mailing address
811 N Harrisville Rd
Harrisville, UT 84404-3537
Phone (801) 399-1818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1120 E 7TH Ave
Mitchell, SD 57301-2908
Phone (212) 734-6621
2131 Kays Creek Dr
Layton, UT 84040-7881
Phone (801) 917-9000
811 N Harrisville Rd
Harrisville, UT 84404-3537
Phone (801) 399-1818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-26792 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha Medical Services, LLC | Current | Accepting new patients | |
| Renew Healthcare LLC | Clinical | Current | Accepting new patients |
| Aloha Behavioral Consultants, Inc. | Clinical | Current | Accepting new patients |
| Andrew L McCall DPM PA | Past | Accepting new patients |
Locations
811 N Harrisville Rd
Ogden, UT 84404
Phone (801) 399-1818
Organizations & group practices 6
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.
-
- Clinical Social Worker
- Harrisville, UT
- NPI 1952432635
-
- Multi-Specialty Clinic/Center
- Harrisville, UT
- NPI 1255956967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1467464370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 N HARRISVILLE RD",
"city": "HARRISVILLE",
"state": "UT",
"postal_code": "844043537",
"telephone_number": "801-399-1818",
"fax_number": "801-782-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 N HARRISVILLE RD",
"city": "HARRISVILLE",
"state": "UT",
"postal_code": "844043537",
"telephone_number": "013-991-8188",
"fax_number": "801-782-8412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN-JOSOFF",
"first_name": "REENA",
"middle_name": "FAYE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-26792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.