Tara Renda, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801097043 Issued in MI

Practice address

2929 W Main St
Kalamazoo, MI 49006-2953

Phone

(269) 903-6638

NPI assigned

Oct 7, 2016

Last updated

Oct 7, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strong Therapy and Community Support

  dba Stacs

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kalamazoo, MI
  • NPI 1831562115

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1396295804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9488 ORANGEVIEW DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490246893",
            "telephone_number": "269-599-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062953",
            "telephone_number": "269-903-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDA",
        "first_name": "TARA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Care Group Southwest Michigan, LLC (Fresenius Medical Care Kalamazoo Home)
• Renal Care Group Southwest Michigan, LLC (Fresenius Medical Care - Kalamazoo East)
• Renal Care Group Southwest Michigan, LLC (RCG Kalamazoo)
• Renal Care Group Southwest Michigan, LLC (RCG Oshtemo)
• Renal Care Pharmacy (Will Plemmons)
• Renewed Outlook Therapy
• Amy M Renouf, MA CCC-SLP
• Charlotte Catherine Rensberger, P.N.P.- P.C.
• Robert E Rensch, MD
• Karen Lee Renzema, LLMSW

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.