Active NPI
Lisa Renner, LMSW
- Social Worker
- Bethel, CT
National Provider Identifier
1063947893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 003052
- Practice address
- 11 Natureview TRL
Bethel, CT 06801-1431 - Phone
- (203) 731-4570
- NPI assigned
- Apr 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 003052 | CT | Primary |
Addresses
Primary practice location
11 Natureview TRL
Bethel, CT 06801-1431
Mailing address
11 Natureview TRL
Bethel, CT 06801-1431
Phone (203) 731-4570
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 |
|---|---|---|---|
| 003052 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493510400000",
"number": "1063947893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 NATUREVIEW TRL",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011431",
"telephone_number": "203-731-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NATUREVIEW TRL",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011431",
"telephone_number": "203-731-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNER",
"first_name": "LISA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-30",
"last_updated": "2017-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "003052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.