MS. RAENELLE BACCHUS (NPI# 1134615933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134615933 |
| Entity Type | Individual |
| Full Name | MS. RAENELLE BACCHUS |
| Credential | LCSW, LCADC |
| Practice Address |
185 Claremont Ave Jersey City NJ 07305-3623 |
| Practice Telephone | 2019035482 |
| Mailing Telephone | 2019035482 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00254800 | NJ | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05688600 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
185 CLAREMONT AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07305-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669955860 | Heather A Hoffman | Social Worker | 185 Claremont Ave, Jersey City, NJ 07305-3623 | 2018-09-13 |
| 1053766709 | Your Possabilities LLC | Social Worker | 185 Claremont Ave, Jersey City, NJ 07305-3623 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584358 | Lloyd Maquiling | Physical Therapist | 198 Old Bergen Rd #2622, Jersey City, NJ 07305 | 2020-06-27 |
| 1487293932 | Acj Consultants, Inc. | Counselor | 1600 Kennedy Blvd, Jersey City, NJ 07305 | 2020-01-02 |
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1538669759 | Marie Day | Home Health Aide | 1709 Kennedy Boulevard, Jersey City, NJ 07305 | 2018-02-14 |
| 1881100162 | Heather Primus | Assistant Behavior Analyst | 120 Seaview Avenue, Ground Floor, Jersey City, NJ 07305 | 2017-12-21 |
| 1932642816 | Reem H Salem | Physical Therapist | 2120 John F Kennedy Blvd, Jersey City, NJ 07305 | 2016-11-28 |
| 1629449020 | Anjanie Persaud | Pharmacist | 260 Armstrong Ave, Jersey City, NJ 07305 | 2015-10-12 |
| 1518334440 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 321 State Rt 440, Jersey City, NJ 07305 | 2015-08-26 |
| 1306212832 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9-11 Kensington Avenue, Jersey City, NJ 07305 | 2015-08-19 |
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| Find all providers in zip 07305 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140485 | Tania Vargas | Social Worker | 155 Christopher Columbus Dr Apt 2l, Jersey City, NJ 07302-3566 | 2020-09-30 |
| 1295346310 | Jonathan Glick Lcsw | Social Worker | 208 Sherman Ave Apt 8, Jersey City, NJ 07307-2016 | 2020-08-12 |
| 1538778113 | Allison June Maroney-lobell | Social Worker | 607 Jersey Ave Apt 3, Jersey City, NJ 07302-2475 | 2020-07-29 |
| 1124641097 | Joseph Patrick Finn Jr. | Social Worker | 95 Columbus Dr, Jersey City, NJ 07302-2978 | 2020-05-26 |
| 1013554997 | Beth Elana Renov | Social Worker | 201 Montgomery Street, Second Floor, Office 2024, Jersey City, NJ 07302-5052 | 2019-12-10 |
| 1871138792 | Rachel Ann Khan-mccroy | Social Worker | 201 Marin Blvd Apt 511, Jersey City, NJ 07302-6494 | 2019-11-14 |
| 1427528090 | Beatriz Cruz | Social Worker | 395 Grand Street, Jersey City, NJ 07660 | 2018-11-27 |
| 1619450129 | Lisa Marie Jones | Social Worker | 152 Central Avenue, Bridgeway Crisis Intervention Services, Jersey City, NJ 07306-2119 | 2018-09-11 |
| 1265932404 | Yourself First, LLC | Social Worker | 101 Hudson St Ste 2100, Jersey City, NJ 07302-3929 | 2018-02-14 |
| 1477087229 | Kerrie Ann Gonzalez | Social Worker | Plaza 10, Suite 803, Jersey City, NJ 07030 | 2017-04-19 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07305 |
Please comment or provide details below to improve the information on MS. RAENELLE BACCHUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.