Christoffel J Janse Van Rensburg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089409 Issued in NY

Practice address

10 McKown Road
Suite 220
Albany, NY 12203-3496

Phone

(518) 763-9912

NPI assigned

Sep 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Saratoga Center for the Family

  • Mental Health Counselor
  • Saratoga Springs, NY
  • NPI 1114061298
  Medicare reassignment NPD
• St. Anne Institute

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Albany, NY
  • NPI 1629243407
  NPD (past)

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1053869040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 BALLSTON AVE",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128664723",
            "telephone_number": "518-587-8008",
            "fax_number": "518-587-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCKOWN ROAD",
            "address_2": "SUITE 220",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033496",
            "telephone_number": "518-763-9912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "359 Ballston Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128664723",
            "country_code": "US",
            "telephone_number": "518-587-8008",
            "fax_number": "518-875-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSE VAN RENSBURG",
        "first_name": "CHRISTOFFEL",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-19",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice M. Delehanty DDS PLLC
• Theresa C Janiszewski, RDH
• Adeel A Janjua I, OWNER
• Melissa Ann Jankovic, MS, CAS
• Darcy A Janowski, FNP-C
• Stacey L Jantzen, M.S. CCC-SLP
• Jaqualyn Iardella NP in Psychiatry PLLC
• Myles L Jarrett
• Kelly Morgan Jarvis
• Hector Jasen, PHYSICAL THERAPIST

• Clinical Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.