Active NPI
Renee David, LICSW
- Clinical Social Worker
- Yakima, WA
National Provider Identifier
1336462522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60706368
- Practice address
- 302 S 10TH Ave
Yakima, WA 98902-3521 - Phone
- (509) 574-3600
- NPI assigned
- Mar 2, 2010
- Last updated
- Oct 7, 2017
- 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 | LW60706368 | WA | Primary |
Addresses
Primary practice location
302 S 10TH Ave
Yakima, WA 98902-3521
Mailing address
2612 W Nob Hill Blvd Ste 101-163
Yakima, WA 98902-7503
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 |
|---|---|---|---|
| LW60706368 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507334400000",
"number": "1336462522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 W NOB HILL BLVD STE 101-163",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989027503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S 10TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023521",
"telephone_number": "509-574-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "RENEE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2017-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60706368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.