Individual provider Active NPI

Alejandro Molina Rendon

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1023264066
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009813 Issued in CT
Practice address
68 Southfield Ave
Ste 100
Stamford, CT 06902-7223
Phone
(929) 233-6267
Fax
(203) 547-7335
NPI assigned
Aug 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW133914 PA
Clinical Social Worker 1041C0700X 009813 CT Primary
Clinical Social Worker 1041C0700X 44SL06216200 NJ

Addresses

Primary practice location

68 Southfield Ave
Ste 100
Stamford, CT 06902-7223

Mailing address

68 Southfield Ave
Ste 100
Stamford, CT 06902-7223
Phone (929) 233-6267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009813CTMDClinical Social Worker
44SL06216200NJMDClinical Social Worker
SW133914PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Mental Health, Inc Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1023264066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 SOUTHFIELD AVE",
            "address_2": "STE 100",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027223",
            "telephone_number": "929-233-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SOUTHFIELD AVE",
            "address_2": "STE 100",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027223",
            "telephone_number": "929-233-6267",
            "fax_number": "203-547-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA RENDON",
        "first_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW133914",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009813",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06216200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.