Elizabeth Rende-Bakshi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085588 Issued in NY

Practice address

529 Courtlandt Ave FL 5
Bronx, NY 10451-5007

Phone

(718) 993-7700

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cardinal McCloskey School and Home for Children

  • Case Management Agency
  • Bronx, NY
  • NPI 1275044869
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1114082229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 MADISON AVE APT 6M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352754",
            "telephone_number": "914-494-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COURTLANDT AVE FL 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515007",
            "telephone_number": "718-993-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDE-BAKSHI",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104337922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renaissance Adult Day Services-787East LLC
• Renal Medicine, P.C.
• Raymond M Renart, RPH.,MS
• Vincenzo Renda
• J Kristine Rendal-Sattem, PMHNP
• Andrew Rende
• Johanna Ofelia Rendon
• Rose E Rene
• Griselda Luz Renedo, MD
• Renewed Life Medical LLC

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 Jun 4, 2020; 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.