Individual provider Active NPI

Renai Kraytem, LCSW

  • Clinical Social Worker
  • Burlington, NJ
National Provider Identifier
1497260293
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05903200 Issued in NJ
Practice address
651 High St
Burlington, NJ 08016-2737
Phone
(609) 386-0775
Fax
(609) 386-4372
NPI assigned
Dec 4, 2017
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06243900 NJ
Clinical Social Worker 1041C0700X 44SC05903200 NJ Primary

Addresses

Primary practice location

651 High St
Burlington, NJ 08016-2737

Mailing address

1 N White Horse Pike
Hammonton, NJ 08037-1875

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200318000817 NJ Practitioner - Clinical Social Worker 3173951555 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06243900NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Initiatives Clinical CurrentSince Jan 8, 2020 Accepting new patients
Christiana Care Health Initiatives CurrentSince Jan 8, 2020 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Dec 14, 2021 Accepting new patients
Christiana Care Health Initiatives Current Accepting new patients
Kurative Therapy Clinical CurrentSince Apr 17, 2024 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

Organizations & group practices 5

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": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1497260293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HIGH ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162737",
            "telephone_number": "609-386-0775",
            "fax_number": "609-386-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYTEM",
        "first_name": "RENAI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06243900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05903200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.