Individual provider Active NPI

Renee Hereth, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1649914391
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100679 Issued in NY
Practice address
111 5TH Ave
New York, NY 10003-1005
Phone
(518) 281-6204
NPI assigned
Apr 27, 2022
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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 102227 NY
Clinical Social Worker 1041C0700X 100679 NY Primary

Addresses

Primary practice location

111 5TH Ave
New York, NY 10003-1005

Mailing address

24 Maxwell Dr # 1071
Clifton Park, NY 12065-2920
Phone (518) 281-6204

Other practice location 1

7 Martin Ct
Halfmoon, NY 12065-5509
Phone (518) 281-6204

Other names 1

  • Renee Lafreniere Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250924001779 NY Practitioner - Clinical Social Worker 9032614722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy LCSW of New York PLLCGroup PAC ID 7113269010, 63 clinicians

Practice addresses (Care Compare)

14415 68TH Rd
Flushing, NY 11367-1330
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102227NYMDMental Health Counselor
100679NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KHP Medical PC CurrentSince Feb 12, 2023 Accepting new patients
Senior Care Therapy LCSW of New York PLLC Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

111 5th Ave
New York, NY 10003
Phone (518) 281-6204

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1649914391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAXWELL DR # 1071",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652920",
            "telephone_number": "518-281-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031005",
            "telephone_number": "518-281-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Martin Ct",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120655509",
            "country_code": "US",
            "telephone_number": "518-281-6204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERETH",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102227",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LAFRENIERE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.