Individual provider Active NPI

Renee Marie Dekin, LCSW

  • Clinical Social Worker
  • East Haven, CT
National Provider Identifier
1508736679
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15961 Issued in CT
Practice address
30 Main St FL 1
East Haven, CT 06512-2506
Phone
(203) 680-0903
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 15961 CT Primary

Addresses

Primary practice location

30 Main St FL 1
East Haven, CT 06512-2506

Mailing address

30 Main St FL 1
East Haven, CT 06512-2506
Phone (203) 680-0903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20251215002775 CT Practitioner - Clinical Social Worker 0840784021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Main St
FL 1
East Haven, CT 06512-2506
Phone (203) 680-0903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15961CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shared Journey, LLC Clinical CurrentSince Nov 20, 2025 Accepting new patients

Locations

30 Main St
#1
East Haven, CT 06512
Phone (203) 927-5130

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1508736679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAIN ST FL 1",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122506",
            "telephone_number": "203-680-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST FL 1",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122506",
            "telephone_number": "203-680-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKIN",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.