Renita Lynnette Bender

Individual provider Active NPI Clinical Social Worker · Many, LA

NPI 1730710237 · NPPES record last updated Jan 24, 2023

Key facts

NPI
1730710237
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
305 S Highland Dr
Many, LA 71449-3719
Phone
(318) 256-5200
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

305 S Highland Dr
Many, LA 71449-3719

Mailing address

1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455

Other providers in Many, LA

All providers in Many, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.