Active NPI
Alejandro Molina Rendon
- Clinical Social Worker
- Stamford, CT
National Provider Identifier
1023264066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 009813
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009813 | CT | MD | Clinical Social Worker |
| 44SL06216200 | NJ | MD | Clinical Social Worker |
| SW133914 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Stamford, CT
- NPI 1033647946
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.