Individual provider Active NPI

Renata Majka, MSW, LCSW

  • Clinical Social Worker
  • Newington, CT
National Provider Identifier
1891322178
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10972 Issued in CT
Practice address
734 New Britain Ave
Newington, CT 06111-4368
Phone
(860) 729-1543
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 10972 CT Primary

Addresses

Primary practice location

734 New Britain Ave
Newington, CT 06111-4368

Mailing address

39 Siegas Rd
Burlington, CT 06013-2319
Phone (860) 729-1543

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address renata@renaissancecounseling.org Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
10972CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Counseling Center, LLC CurrentSince Aug 9, 2020 Accepting new patients

Locations

734 New Britain Ave
Newington, CT 06111
Phone (860) 729-1543

734 New Britain Ave
Ste C
Newington, CT 06111

Organizations & group practices 1

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1891322178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SIEGAS RD",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060132319",
            "telephone_number": "860-729-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 NEW BRITAIN AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114368",
            "telephone_number": "860-729-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJKA",
        "first_name": "RENATA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "renata@renaissancecounseling.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "734 New Britain Ave",
            "city": "Newington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061114368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.