Luserito Renteria

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149027951 Issued in IL

Practice address

1090 McConnell Rd
Woodstock, IL 60098-7310

Phone

(815) 245-6669

NPI assigned

Jan 20, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Transformation Behavioral Health PLLC

  • Clinical Social Worker
  • Woodstock, IL
  • NPI 1659066066
  NPD
• Transformation Behavioral Health Associates LLC

  • Clinical Psychologist
  • Woodstock, IL
  • NPI 1710225644
  NPD (past)

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1124830971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 AMSTERDAM ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982306",
            "telephone_number": "815-354-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MCCONNELL RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987310",
            "telephone_number": "815-245-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "LUSERITO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Reibel
• Rose A Reichhart, RPH
• Rein Chiropractic PC
• Michael R. Rein, D.C.
• Corinne Renner, OTR/L, CLT
• Leo A Reyes, M.D.
• George Luis Ribarchik, OD
• Stacia Riffe, MS,RD,LDN
• Elizabeth Rios, APN
• Jennifer Rispens, PHARM.D.

• Clinical Social Worker in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.