Individual provider Active NPI

Reena Faye Green-Josoff, LCSW

  • Clinical Social Worker
  • Harrisville, UT
National Provider Identifier
1467464370
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-26792 Issued in ID
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170829003153 UT Practitioner - Clinical Social Worker 2163453317 Reassigns benefits to 2 organizations
I20260522000717 SD Practitioner - Clinical Social Worker 2163453317 Reassigns benefits to 2 organizations

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
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Renew Healthcare LLCGroup PAC ID 5698133726, 7 clinicians
Aloha Behavioral Consultants, Inc.Group PAC ID 2961501804, 7 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
LCSW-26792IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Medical Services, LLC CurrentSince Jun 14, 2020 Accepting new patients
Renew Healthcare LLC Clinical CurrentSince Apr 29, 2025 Accepting new patients
Aloha Behavioral Consultants, Inc. Clinical CurrentSince Aug 1, 2017 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.

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

Verify at the official NPI Registry.