Active NPI
Renee Moffett, LCSW, LCADC
- Clinical Social Worker
- Red Bank, NJ
National Provider Identifier
1629661004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05971800
- Practice address
- 195 Maple Ave
Red Bank, NJ 07701-1726 - Phone
- (732) 749-2438
- NPI assigned
- Feb 16, 2021
- Last updated
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00310100 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05971800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Rain Counseling | Clinical | Current | Accepting new patients |
| Digit LLC | Current | 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.