Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jacqueline Lucille Renda, LCSW-R

Individual provider Clinical Social Worker · NPI 1700087434

MS. Jacqueline Lucille Renda, LCSW-R is a Clinical Social Worker in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

210 Emerson St
Port Jefferson, NY 11777-1605
Phone: (631) 331-3895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence R039200-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence R039200-1 (NY)

Record details

NPI number1700087434
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESSeptember 11, 2025

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