Individual provider Active NPI

Marla B Renzoni, L.C.S.W.

  • Mental Health Counselor
  • Monsey, NY
National Provider Identifier
1578634622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
071958 Issued in NY
Practice address
11 Zabriskie Ter
Monsey, NY 10952-1953
Phone
(845) 323-9450
Fax
(845) 290-1234
NPI assigned
Nov 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 071958 NY Primary

Addresses

Primary practice location

11 Zabriskie Ter
Monsey, NY 10952-1953

Mailing address

11 Zabriskie Ter
Monsey, NY 10952-1953
Phone (845) 323-9450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000078 NY Practitioner - Clinical Social Worker 1254355191 Practice locations: Monsey, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Zabriskie Ter
Monsey, NY 10952-1953
Phone (845) 323-9450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578634622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ZABRISKIE TER",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521953",
            "telephone_number": "845-323-9450",
            "fax_number": "845-290-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ZABRISKIE TER",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521953",
            "telephone_number": "845-323-9450",
            "fax_number": "845-290-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZONI",
        "first_name": "MARLA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "071958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.