MS. JACQUELINE LUCILLE RENDA LCSW-R
NPI 1700087434
Social Worker - School in Port Jefferson, NY

Q: What is Jacqueline Renda's NPI number?

The NPI number for Jacqueline Renda is 1700087434. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Jacqueline Renda's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Renda was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2007

210 EMERSON ST, PORT JEFFERSON, NY 11777(631) 331-3895 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Jacqueline Lucille Renda Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE LUCILLE RENDA LCSW-R (NPI 1700087434) is an individual school provider in Port Jefferson, New York, licensed in New York (R039200-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1700087434

Entity TypeIndividualFemale

Primary Taxonomy1041S0200X

Provider Legal NameMS. JACQUELINE LUCILLE RENDACredential: LCSW-R

Location Address210 EMERSON STPort Jefferson, NY 11777-1605

Mailing Address210 Emerson StPort Jefferson, NY 11777-1605 · (631) 331-3895

Phone(631) 331-3895

Sole ProprietorNo

Enumeration DateMay 30, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1700087434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers

Taxonomy Code1041S0200X

License✔ Licensed in NY · R039200-1

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License R039200-1 (NY)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Renda's NPI number?

The NPI number for Jacqueline Renda is 1700087434. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Jacqueline Renda located?

Jacqueline Renda practices at 210 Emerson St, Port Jefferson, NY 11777. The listed phone number is (631) 331-3895.

What is Jacqueline Renda's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

What insurance does Jacqueline Renda accept?

Health plans from Providence Health Plan list Jacqueline Renda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Renda was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.