Renee P Page, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003453A Issued in IN

Practice address

926 E Jackson Blvd
Elkhart, IN 46516-4351

Phone

(574) 522-6292

NPI assigned

Apr 10, 2006

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 and National Provider Directory roles.

• Psychological & Family Consultants

  • Counseling Psychologist
  • Elkhart, IN
  • NPI 1013055086
  NPD (past)
• Psychological & Family Consultants, Inc

  • Counseling Psychologist
  • Elkhart, IN
  • NPI 1962541227
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1558324616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-522-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-522-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "RENEE",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003453A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Osoria
• Ossip Optometry, P.C
• Myra J. Oswald, ANP
• Laurie Padgett
• Julia K. Pagano, DPM
• Richard Palicki
• Tiffany Pamer
• Swati Pandey, MBBS
• Angelina Theresa Panford, FNP-BC
• Nicholas Daniel Panting, MD

• All providers in Elkhart, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.