Individual provider Active NPI

Renel S Noto, MSW, LCSW

  • Clinical Social Worker
  • Laveen, AZ
National Provider Identifier
1427262815
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-13584 Issued in AZ
Practice address
4577 W Pecos Rd
Laveen, AZ 85339-9002
Phone
(520) 550-6008
Fax
(520) 550-6033
NPI assigned
May 9, 2007
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-13584 AZ Primary

Addresses

Primary practice location

4577 W Pecos Rd
Laveen, AZ 85339-9002

Mailing address

4577 W Pecos Rd
Laveen, AZ 85339-9002
Phone (520) 550-6008

Other identifiers 1

IdentifierTypeStateIssuer
415712MedicaidAZ

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

LicenseStateTypeSpecialty
LCSW-13584AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1427262815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 W PECOS RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853399002",
            "telephone_number": "520-550-6008",
            "fax_number": "520-550-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 W PECOS RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853399002",
            "telephone_number": "520-550-6008",
            "fax_number": "520-550-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTO",
        "first_name": "RENEL",
        "middle_name": "S",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-13584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415712",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.