Active NPI
Jennifer Ann Renzi, LCSW
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1275076044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19404
- Practice address
- 7025 N Chestnut Ave
#102
Fresno, CA 93720-0351 - Phone
- (559) 840-1012
- NPI assigned
- Nov 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19404 | CA | Primary |
Addresses
Primary practice location
7025 N Chestnut Ave
#102
Fresno, CA 93720-0351
Mailing address
7025 N Chestnut Ave
#102
Fresno, CA 93720-0351
Phone (559) 840-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19404 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saving All Children | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Fresno, CA
- NPI 1700211992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1275076044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7025 N CHESTNUT AVE",
"address_2": "#102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200351",
"telephone_number": "559-840-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7025 N CHESTNUT AVE",
"address_2": "#102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200351",
"telephone_number": "559-840-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENZI",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "19404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.