Glynis Victoria Elizabeth Rennels, LCSW-BACS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4383 Issued in LA

Practice address

143 Ridgeway Dr Ste 106
Lafayette, LA 70503-3410

Phone

(337) 993-1960

Fax

(337) 993-1961

NPI assigned

May 14, 2019

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

Other names 1

• Glynis Rennels Deroche Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hope Renewed Counseling LLC

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1790410736
  NPD Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1538725510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELMWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035117",
            "telephone_number": "337-962-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DR STE 106",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033410",
            "telephone_number": "337-993-1960",
            "fax_number": "337-993-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Magnate Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705083890",
            "country_code": "US",
            "telephone_number": "337-889-5830",
            "fax_number": "337-889-5834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNELS",
        "first_name": "GLYNIS",
        "middle_name": "VICTORIA ELIZABETH",
        "credential": "LCSW-BACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLYNIS",
            "last_name": "DEROCHE",
            "middle_name": "RENNELS",
            "credential": "LCSW-BACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Relief Plus Clinic LLC
• Relief Plus, LLC
• Lunden Remey
• Julie Remillard, BS, MHS
• Renee Richards LCSW LLC
• Monique Reno, LCSW
• Philip Renoux, P.T.
• Sarah Rentrop, CSW
• Tessia Guillory Requena-Ozene
• Rescare, Inc.

• Clinical Social Worker in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.