Beth Elana Renov, LCSW
Social Worker, Clinical in Jersey City, NJ. Individual provider (NPI-1).
NPI number1013554997
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1013554997
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Beth Elana Renov
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2019
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05853500 | NJ | Yes |
Practice location
201 Montgomery Street, Second FloorOffice 2024
Jersey City, NJ 07302-5052
Phone 201-890-5370
Mailing address
232 Pavonia Ave Apt 511Jersey City, NJ 07302-1759
Phone 201-407-8951
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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