Healthcare Provider Details

I. General information

NPI: 1538024682
Provider Name (Legal Business Name): RENEICEA HUGHES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 02/15/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 E 153RD ST
BRONX NY
10455-1307
US

IV. Provider business mailing address

33 W 60TH ST FL 6
NEW YORK NY
10023-7905
US

V. Phone/Fax

Practice location:
  • Phone: 646-942-2007
  • Fax:
Mailing address:
  • Phone: 212-227-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number105657
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: