Individual provider Active NPI

Mira Renchner, LCSWR

  • Social Worker
  • Mt Kisco, NY
National Provider Identifier
1659436400
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R037335-1 Issued in NY
Practice address
53 Byram Lake Rd
Mt Kisco, NY 10549
Phone
(914) 242-9591
Fax
(914) 242-9591
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

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
Social Worker 104100000X R037335-1 NY Primary

Addresses

Primary practice location

53 Byram Lake Rd
Mt Kisco, NY 10549

Mailing address

53 Byram Lake Rd
Mt Kisco, NY 10549
Phone (914) 242-9591

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
I20110518000469 NY Practitioner - Clinical Social Worker 5799961207 Practice locations: Mount Kisco, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

53 Byram Lake Rd
Mount Kisco, NY 10549-3419
Phone (914) 242-9591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R037335-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659436400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 BYRAM LAKE RD",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-242-9591",
            "fax_number": "914-242-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 BYRAM LAKE RD",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-242-9591",
            "fax_number": "914-242-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENCHNER",
        "first_name": "MIRA",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R037335-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Kisco, NY

Sources for this page

Verify at the official NPI Registry.