MEDICARE: SPRING RAIN COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1346996212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING RAIN COUNSELING

Provider Business Mailing Address
First Line	:	865 NJ 33 BUSINESS
Second Line	:	STE #3, UNIT # 103
City	:	FREEHOLD
State	:	NJ
Zip	:	07728
Country	:	US
Telephone Number	:	732-290-5891
Fax Number	:

Provider Business Practice Location Address
First Line	:	865 NJ 33 BUSINESS
Second Line	:	STE 3, UNIT #103
City	:	FREEHOLD
State	:	NJ
Zip	:	07728
Country	:	US
Telephone Number	:	732-707-5002
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	RENEE A MOFFETT
Credential	:	LCSW, LCADC
Telephone Number	:	732-290-5891

Provider Enumeration Date	:	03/01/2022
Last Update Date	:	02/03/2026

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