Individual provider Active NPI

Rena Esther Gordonson, LSW

  • Social Worker
  • Hillsborough, NJ
National Provider Identifier
1689138653
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06437000 Issued in NJ
Practice address
425 Amwell Rd
Hillsborough, NJ 08844-1213
Phone
(908) 770-7352
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06437000 NJ Primary

Addresses

Primary practice location

425 Amwell Rd
Hillsborough, NJ 08844-1213

Mailing address

C12 Girard PL Apt 12C
Union, NJ 07083-5626
Phone (646) 584-7785

Other practice location 1

285 E Main St
Somerville, NJ 08876-3005
Phone (908) 295-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230505001864 NJ Practitioner - Clinical Social Worker 9739544214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MKF CounselingGroup PAC ID 8820409618, 5 clinicians

Practice addresses (Care Compare)

425 Amwell Rd
Suite 101
Hillsborough, NJ 08844-1213
Phone (908) 770-7352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06437000NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Flexmindtherapy Current Accepting new patients
MKF Counseling CurrentSince May 5, 2023 Accepting new patients

Locations

425 Amwell Rd
Ste 101
Hillsborough, NJ 08844
Phone (908) 770-7352

25 Kilmer Dr
Ste 217
Morganville, NJ 07751
Phone (732) 617-8888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1689138653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C12 GIRARD PL APT 12C",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835626",
            "telephone_number": "646-584-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 AMWELL RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441213",
            "telephone_number": "908-770-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 E Main St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088763005",
            "country_code": "US",
            "telephone_number": "908-295-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDONSON",
        "first_name": "RENA",
        "middle_name": "ESTHER",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06437000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.