Ms Raenelle Bacchus, LCSW, LCADC is a
Social Worker - Clinical based in Jersey City, New Jersey. Ms Raenelle Bacchus is licensed to practice in New Jersey (license number 44SC05688600) and her current practice location is
185 Claremont Ave, Jersey City, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(201) 903-5482.
NPI number for Ms Raenelle Bacchus is 1134615933 and her current mailing address is 185 Claremont Ave, Jersey City, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134615933.
Healthcare Provider's Profile
Full Name | Ms Raenelle Bacchus |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 185 Claremont Ave, Jersey City, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134615933
- Provider Enumeration Date: 07/03/2018
- Last Update Date: 07/03/2018
Medical Identifiers
Medical identifiers for Ms Raenelle Bacchus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134615933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00254800 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC05688600 (New Jersey) | 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 Raenelle Bacchus 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 Address | Practice Location Address |
Ms Raenelle Bacchus, LCSW, LCADC 185 Claremont Ave, Jersey City, NJ 07305-3623 Ph: (201) 903-5482 | Ms Raenelle Bacchus, LCSW, LCADC 185 Claremont Ave, Jersey City, NJ 07305-3623 Ph: (201) 903-5482 |
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