Renata Hadis, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00667700 Issued in NJ

Practice address

600 Upper Mountain Ave
Upper Montclair, NJ 07043-1623

Phone

(973) 746-8029

Fax

(973) 746-1483

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Renata Kestelboim Hadis Other name

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

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Renata Hadis, LCSW, LLC

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1073976841
  Authorized official Same address or phone
• University Surgical Associates (Om)

  • Plastic Surgery Physician
  • Newark, NJ
  • NPI 1649826686
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750457883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UPPER MOUNTAIN AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431623",
            "telephone_number": "973-746-8029",
            "fax_number": "973-746-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UPPER MOUNTAIN AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431623",
            "telephone_number": "973-746-8029",
            "fax_number": "973-746-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADIS",
        "first_name": "RENATA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00667700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENATA",
            "last_name": "HADIS",
            "middle_name": "KESTELBOIM",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sherri S Glassman, PH.D.
• Edward David Gold, DDS
• Lydia Zborowski Golub, PHD
• William Michael Gordon, PH.D.
• Marsha L. Grant-Ford, ATC, PHD
• Lori Ann Harris, MSW, LSW
• Frances Esther Hecker, PH.D.
• Leslie D. Heller, M.S.W., L.C.S.W
• Judith Knox Herschlag, PH.D.
• Anna Mayer Higgins, PMHNP-BC

• Clinical Social Worker in Upper Montclair, NJ
• Providers in Upper Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.