Ms Jacqueline Lucille Renda, LCSW-R - Clinical Social Worker in Port Jefferson, NY

Ms Jacqueline Lucille Renda, LCSW-R is a Social Worker - School based in Port Jefferson, New York. Ms Jacqueline Lucille Renda is licensed to practice in New York (license number R039200-1) and her current practice location is 210 Emerson St, Port Jefferson, New York. She can be reached at her office (for appointments etc.) via phone at (631) 331-3895.

NPI number for Ms Jacqueline Lucille Renda is 1700087434 and her current mailing address is 210 Emerson St, Port Jefferson, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700087434.

Contact Information

Ms Jacqueline Lucille Renda, LCSW-R
210 Emerson St,
Port Jefferson, NY 11777-1605
(631) 331-3895
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Jacqueline Lucille Renda
GenderFemale
SpecialitySocial Worker - School
Location210 Emerson St, Port Jefferson, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700087434
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Jacqueline Lucille Renda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700087434NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical R039200-1 (New York)Primary
1041S0200XSocial Worker - School R039200-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Lucille Renda is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jacqueline Lucille Renda, LCSW-R
210 Emerson St,
Port Jefferson, NY 11777-1605

Ph: (631) 331-3895
Ms Jacqueline Lucille Renda, LCSW-R
210 Emerson St,
Port Jefferson, NY 11777-1605

Ph: (631) 331-3895

Reviews and Comments


Social Worker in Port Jefferson, NY

Ms. Abby Rachel Leefer, LCSW
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Phone: 631-928-9808    Fax: 631-928-9808
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Phone: 631-928-2175    
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Phone: 631-473-7492    Fax: 631-473-7492
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Practice Location: 402 Owasco Dr, Port Jefferson, NY 11777
Phone: 631-331-9341    

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