Individual provider Active NPI

Cathy Chonoles Renz, LICSW

  • Clinical Social Worker
  • Canton, MA
National Provider Identifier
1144469172
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114402 Issued in MA
Practice address
1032 Turnpike St
Suite 204
Canton, MA 02021-2865
Phone
(339) 364-8510
Fax
(339) 230-0813
NPI assigned
Feb 15, 2009
Last updated
Nov 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114402 MA Primary

Addresses

Primary practice location

1032 Turnpike St
Suite 204
Canton, MA 02021-2865

Mailing address

PO Box 2
Sharon, MA 02067-0002
Phone (339) 364-8510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20120516000320 MA Practitioner - Clinical Social Worker 9830352533 Reassigns benefits to 1 organization
Practice locations: Stoughton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renz Counseling, LLCGroup PAC ID 0042533259, 11 clinicians

Practice addresses (Care Compare)

378 Page St
Suite 6
Stoughton, MA 02072-1124
Phone (339) 364-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114402MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renz Counseling, LLC Clinical CurrentSince May 24, 2014 Accepting new patients

Locations

1032 Turnpike St
Ste 204
Canton, MA 02021
Phone (339) 364-8080

378 Page St
Ste 6
Stoughton, MA 02072
Phone (339) 364-8080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1144469172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020670002",
            "telephone_number": "339-364-8510",
            "fax_number": "339-230-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 TURNPIKE ST",
            "address_2": "SUITE 204",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212865",
            "telephone_number": "339-364-8510",
            "fax_number": "339-230-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZ",
        "first_name": "CATHY",
        "middle_name": "CHONOLES",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-15",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.