Individual provider Active NPI

Renee Marie Inteso, RCSWI

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1669170965
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW17300 Issued in FL
Practice address
2479 Aloma Ave
Winter Park, FL 32792-2541
Phone
(407) 657-6692
NPI assigned
Feb 16, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW17300 FL Primary

Addresses

Primary practice location

2479 Aloma Ave
Winter Park, FL 32792-2541

Mailing address

5988 Bent Pine Dr Apt 382
Orlando, FL 32822-3335
Phone (407) 900-9132

Other names 1

  • Ms. Renee Marie Petro Other name

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

LicenseStateTypeSpecialty
ISW17300FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1669170965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5988 BENT PINE DR APT 382",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328223335",
            "telephone_number": "407-900-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2479 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922541",
            "telephone_number": "407-657-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTESO",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW17300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "PETRO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "RCSWI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.