Renee E Cristiano, LSCSW
Individual provider Active NPI Clinical Social Worker · Wichita, KS
NPI 1295748044 · NPPES record last updated May 2, 2012
Key facts
- NPI
- 1295748044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSCSW480 (KS)
- Practice address
- 815 N Waco Ave
Ste 32
Wichita, KS 67203-3927 - Phone
- (316) 945-9008
- Fax
- (316) 462-0514
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW480 | KS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCSW480 | KS | Yes |
Addresses
Primary practice location
815 N Waco Ave
Ste 32
Wichita, KS 67203-3927
Mailing address
815 N Waco Ave
Ste 32
Wichita, KS 67203-3927
Phone (316) 945-9008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011057 | Other | KS | BCBS |
Other providers in Wichita, KS
- Michele Creger
- Jonathan Cremin
- Linda R Crenshaw
- December T Crew
- Natalie Crist
- Braedan Spencer Crites
- Critical Care Consultants of Wcihita LLC
- Andrea Crittenden
- Carolyn Anne Croft
- Janet Cromly
All providers in Wichita, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.