Renee Ridolfi, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015414 Issued in NC

Practice address

3211 Shannon Rd Ste 430
Durham, NC 27707-6324

Phone

(919) 886-4052

NPI assigned

Dec 30, 2020

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1184211690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 HARPS MILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153239",
            "telephone_number": "919-886-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 SHANNON RD STE 430",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076324",
            "telephone_number": "919-886-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Harps Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276153239",
            "country_code": "US",
            "telephone_number": "919-886-4052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDOLFI",
        "first_name": "RENEE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Eric Rideout, M.D.
• Jessica Rider, FNP
• Nicole Rider
• Michelle Ann Ridge, SPEECH LANGUAGE PATH
• Ridgeline Care Coordination
• Laura Brewer Riedel, CPO
• Richard Francis Riedel, MD
• Emily Marie Rieder, MD
• Ronald Edward Riefkohl
• Alison Riehm, MD

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.