Lauren Marie Gail Renne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15789 Issued in FL

Practice address

10760 Bloomingdale Ave
Riverview, FL 33578-3675

Phone

(813) 413-7575

Fax

(813) 217-8174

NPI assigned

Sep 15, 2019

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

Electronic endpoints 1

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": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1245880988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 BLOOMINGDALE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783675",
            "telephone_number": "813-413-7575",
            "fax_number": "813-217-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 BLOOMINGDALE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783675",
            "telephone_number": "813-413-7575",
            "fax_number": "813-217-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNE",
        "first_name": "LAUREN MARIE",
        "middle_name": "GAIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "15789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "healing@triangleresolutions.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "10760 Bloomingdale Ave",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335783675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Riverview, FL
• Providers in Riverview, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.