Renai Kraytem, LCSW
Individual provider Active NPI Clinical Social Worker · Burlington, NJ
NPI 1497260293 · NPPES record last updated Jan 12, 2022
Key facts
- NPI
- 1497260293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05903200 (NJ)
- Practice address
- 651 High St
Burlington, NJ 08016-2737 - Phone
- (609) 386-0775
- Fax
- (609) 386-4372
- NPI assigned
- Dec 4, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
285 Jennings Way
Mickleton, NJ 08056-1031
Phone (973) 474-8445
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200318000817 | NJ | Practitioner - Clinical Social Worker | 3173951555 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06243900 | NJ | MD | Social Worker |
| 44SC05903200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Initiatives | Current | Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc | Current |
Accepting new patients | |
| Kurative Therapy | Clinical | Current |
Accepting new patients |
| Christiana Care Health Initiatives | Clinical | Current |
Accepting new patients |
| Christiana Care Health Initiatives | Current |
Accepting new patients |
Locations
200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362
651 High St
Burlington City, NJ 08016
Phone (609) 386-0775
1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200
860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200
341 Shell Rd
Penns Grove, NJ 08069
Phone (609) 299-4600
125 East Ave
Ste C
Woodstown, NJ 08098
Phone (856) 769-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06243900 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05903200 | NJ | Yes |
Addresses
Primary practice location
651 High St
Burlington, NJ 08016-2737
Mailing address
1 N White Horse Pike
Hammonton, NJ 08037-1875
Other providers in Burlington, NJ
- Antonea Kouassi
- Diana Kovacevic
- Janet Kporjro
- Tina Danielle Krajnikovich
- Heather Krawsek
- Fleta Krebs
- Patrick Paul La Croix
- Keitoria Raychelle Lacount
- Nicole Lacy
- Danielle Lamaine
All providers in Burlington, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.