Active NPI
Christine Renz, LICSW
- School Social Worker
- Blackstone, MA
National Provider Identifier
1093213837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 111565
- Practice address
- 200 Lincoln Street
John F. Kennedy Elementary School
Blackstone, MA 01504 - Phone
- (508) 876-0118
- NPI assigned
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 111565 | MA | Primary |
Addresses
Primary practice location
200 Lincoln Street
John F. Kennedy Elementary School
Blackstone, MA 01504
Mailing address
200 Lincoln Street
John F. Kennedy Elementary School
Blackstone, MA 01504
Phone (508) 876-0118
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 |
|---|---|---|---|
| 111565 | MA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1093213837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LINCOLN STREET",
"address_2": "JOHN F. KENNEDY ELEMENTARY SCHOOL",
"city": "BLACKSTONE",
"state": "MA",
"postal_code": "01504",
"telephone_number": "508-876-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LINCOLN STREET",
"address_2": "JOHN F. KENNEDY ELEMENTARY SCHOOL",
"city": "BLACKSTONE",
"state": "MA",
"postal_code": "01504",
"telephone_number": "508-876-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENZ",
"first_name": "CHRISTINE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": "111565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackstone, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.