Andrea N Renzelli, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0800014-SUPV Issued in OH

Practice address

8680 Rock Riffle Rd
Athens, OH 45701-9656

Phone

(740) 707-4240

NPI assigned

Feb 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• House of New Hope

  • Home Health Agency
  • St Louisville, OH
  • NPI 1619245016
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1467620187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 ROCK RIFFLE RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019656",
            "telephone_number": "740-707-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 ROCK RIFFLE RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019656",
            "telephone_number": "740-707-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZELLI",
        "first_name": "ANDREA",
        "middle_name": "N",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800014",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945795",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800014-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Remy, QMHS
• Michelle Renault
• Kenneth James Renfrow, MS, LPCC
• Katie Renner
• Stephanie R Renner
• William J Resch, DO
• Christopher John Rettos, PT
• Mandy Reuter
• Ashley Reveal
• Hannah Grace Rew

• Clinical Social Worker in Athens, OH
• Providers in Athens, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.