Active NPI
Edward Renner, LCSW
- Social Worker
- Milwaukee, WI
National Provider Identifier
1467893545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3487-123
- Practice address
- 8901 W Capitol Dr
Milwaukee, WI 53222-1706 - Phone
- (262) 719-9325
- NPI assigned
- Jul 17, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 3487-123 | WI | Primary |
Addresses
Primary practice location
8901 W Capitol Dr
Milwaukee, WI 53222-1706
Mailing address
W275N6474 Oak Hill CT
Sussex, WI 53089-3392
Phone (262) 719-9235
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3487-123 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1467893545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W275N6474 OAK HILL CT",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893392",
"telephone_number": "262-719-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532221706",
"telephone_number": "262-719-9325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNER",
"first_name": "EDWARD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-17",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "3487-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.