Individual provider Active NPI

Rene Seuntjens, LCSW

  • Clinical Social Worker
  • Ocala, FL
National Provider Identifier
1164859179
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11464 Issued in FL
Practice address
2303 SE 17TH St Ste 102
Ocala, FL 34471-9109
Phone
(352) 622-4488
Fax
(352) 565-2196
NPI assigned
Oct 4, 2013
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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 SW11464 FL Primary

Addresses

Primary practice location

2303 SE 17TH St Ste 102
Ocala, FL 34471-9109

Mailing address

2303 SE 17TH St Ste 102
Ocala, FL 34471-9109
Phone (352) 622-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200812000269 FL Practitioner - Clinical Social Worker 7113343997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11464FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Consulting & Prevention, LLC CurrentSince Mar 1, 2020 Accepting new patients
Ocala Consulting & Prevention, LLC Past Accepting new patients

Locations

2100 SE 17th St
Bldg 700
Ocala, FL 34471
Phone (352) 622-4488

2100 SE 17th St
Ste 701
Ocala, FL 34471
Phone (352) 622-4488

2300 SE 17th St
Ste 201
Ocala, FL 34471
Phone (352) 629-4256

2303 SE 17th St
Ste 102
Ocala, FL 34471
Phone (352) 622-4488

Organizations & group practices 2

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": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1164859179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 SE 17TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719109",
            "telephone_number": "352-622-4488",
            "fax_number": "352-656-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 SE 17TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719109",
            "telephone_number": "352-622-4488",
            "fax_number": "352-565-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEUNTJENS",
        "first_name": "RENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.