Kristen J Renshaw, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078168 Issued in NY

Practice address

200 Bloomingdale Rd FL 2
White Plains, NY 10605-1514

Phone

(917) 743-3582

Fax

(646) 410-0345

NPI assigned

Apr 14, 2011

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1245520998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BLOOMINGDALE RD FL 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051514",
            "telephone_number": "917-743-3582",
            "fax_number": "646-410-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BLOOMINGDALE RD FL 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051514",
            "telephone_number": "917-743-3582",
            "fax_number": "646-410-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSHAW",
        "first_name": "KRISTEN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Carlson Rembar, PH.D.
• Jillian Rementilla, PT, DPT
• Taylor C Remillard, MD
• Julian Remouns, DO
• Ralph Rende
• Jessica Renz, PSY.D.
• Repair Recover Restore Chiropractic P.C.
• Carolyn Reppucci
• Gene Resnick, M.D.
• Mitchell A Reuben, MD

• Clinical Social Worker in White Plains, NY
• Providers in White Plains, 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 Apr 14, 2011; 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.