Individual provider Active NPI

Renee Moffett, LCSW, LCADC

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1629661004
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05971800 Issued in NJ
Practice address
195 Maple Ave
Red Bank, NJ 07701-1726
Phone
(732) 749-2438
NPI assigned
Feb 16, 2021
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00310100 NJ
Clinical Social Worker 1041C0700X 44SC05971800 NJ Primary

Addresses

Primary practice location

195 Maple Ave
Red Bank, NJ 07701-1726

Mailing address

1515 State Route 35 # 1013
Middletown, NJ 07748-1829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00310100NJMDAddiction (Substance Use Disorder) Counselor
44SC05971800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Rain Counseling Clinical CurrentSince Apr 28, 2024 Accepting new patients
Digit LLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

1515 State Route 35
Middletown, NJ 07748
Phone (732) 290-5691

195 Maple Ave
Red Bank, NJ 07701
Phone (732) 749-2438

Organizations & group practices 2

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1629661004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 STATE ROUTE 35 # 1013",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011726",
            "telephone_number": "732-749-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "RENEE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00310100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05971800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.