Individual provider Active NPI

Linda M Pecca-Reynolds, LCSW

  • Clinical Social Worker
  • Elizabeth, NJ
National Provider Identifier
1679655278
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SCO4651900 Issued in NJ
Practice address
654 E Jersey St
Elizabeth, NJ 07206-1261
Phone
(908) 994-7278
Fax
(908) 994-7054
NPI assigned
Oct 20, 2006
Last updated
May 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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 44SCO4651900 NJ Primary

Addresses

Primary practice location

654 E Jersey St
Elizabeth, NJ 07206-1261

Mailing address

32 Coachlight Drive
Chatham, NJ 07928
Phone (973) 665-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • 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
I20050420000417 NJ Practitioner - Clinical Social Worker 6204874357 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinitas Regional Medical Center CurrentSince Mar 25, 2024 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince May 3, 2025 Accepting new patients
Trinitas Regional Medical Center CurrentSince Apr 13, 2011 Accepting new patients
Trinitas Regional Medical Center Current Accepting new patients
Trinitas Regional Medical Center CurrentSince Apr 13, 2011 Accepting new patients

Locations

597 Broadway
Bayonne, NJ 07002
Phone (201) 339-9200

601 Broadway
Bayonne, NJ 07002
Phone (201) 339-9200

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

654 E Jersey St
Elizabethport, NJ 07206
Phone (908) 994-7271

655 E Jersey St
Elizabethport, NJ 07206
Phone (908) 994-7925

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1679655278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COACHLIGHT DRIVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "07928",
            "telephone_number": "973-665-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061261",
            "telephone_number": "908-994-7278",
            "fax_number": "908-994-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECCA-REYNOLDS",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO4651900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.