Renee Vecere Sudol, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04854600 Issued in NJ

Practice address

5 Temple CT
Pennington, NJ 08534-5151

Phone

(267) 255-0351

NPI assigned

Apr 25, 2010

Last updated

Oct 23, 2018By the provider in NPPES

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

Other names 1

• Mrs. Renee Vecere Sudol Professional name

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": "1272153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1356668776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 EMERALD DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675740",
            "telephone_number": "267-255-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TEMPLE CT",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345151",
            "telephone_number": "267-255-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDOL",
        "first_name": "RENEE",
        "middle_name": "VECERE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-25",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04854600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "SUDOL",
            "middle_name": "VECERE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicholas Andrew Stoltzfus, PA-C
• Brendan Stringfellow, MD
• Eric Michael Struble, M.D.
• Amanda Mathisen Stylianou, LCSW
• Kimberly Such, LSW
• Umaima Sidra Afsheen Syeda, RD
• Joel Szkrybalo, PH.D.
• Fatima Tahir, MD
• Nimra Tahir, PA-C
• Muhammad Tahseen, M.D.

• Clinical Social Worker in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.