| Doctor Name: | MRS. RENATA HADIS |
| NPI Number: | 1750457883 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 44SC00667700 |
| Business Practice Address: | 600 Upper Mountain Ave Upper Montclair, NJ - 070431623 |
| Business Phone Number: | 9737468029 |
| Business Fax Number: | 9737461483 |
| Mailing Address: | 600 Upper Mountain Ave, UPPER MONTCLAIR |
| State: | NJ |
| Postal Code: | 070431623 |
| Phone Number: | 9737468029 |
| Fax Number: | 9737461483 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC00667700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |