Individual provider Active NPI

Renee Natvig, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1780953349
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8807 Issued in FL
Practice address
631 N Hyer Ave
Orlando, FL 32803-4629
Phone
(407) 625-3134
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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 SW8807 FL Primary

Addresses

Primary practice location

631 N Hyer Ave
Orlando, FL 32803-4629

Mailing address

631 N Hyer Ave
Orlando, FL 32803-4629
Phone (407) 625-3134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200617000787 FL Practitioner - Clinical Social Worker 1759703986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

631 N Hyer Ave
Orlando, FL 32803-4629
Phone (407) 625-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce L. Stafford, PA Clinical CurrentSince Aug 12, 2020 Accepting new patients
Renee Natvig, LLC Clinical CurrentSince Aug 12, 2020 Accepting new patients

Locations

631 N Hyer Ave
Orlando, FL 32803
Phone (407) 625-3134

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1780953349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 N HYER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034629",
            "telephone_number": "407-625-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N HYER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034629",
            "telephone_number": "407-625-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATVIG",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.