Individual provider Active NPI

Christine Ann Renuart, LCSW

  • Clinical Social Worker
  • Rogers, AR
National Provider Identifier
1790070928
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2420C Issued in AR
Practice address
8998 Lane Loraine
Rogers, AR 72756-7891
Phone
(479) 366-2846
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 2420C AR Primary

Addresses

Primary practice location

8998 Lane Loraine
Rogers, AR 72756-7891

Mailing address

3310 Oak Vista Drive
Port Orange, FL 32128
Phone (479) 354-2455

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151103000378 AR Practitioner - Clinical Social Worker 6800106964 Reassigns benefits to 1 organization
I20220901001033 FL Practitioner - Clinical Social Worker 6800106964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oceanvista Counseling Associates, LLCGroup PAC ID 2668855644, 4 clinicians
Eason Counseling and Associates LLCGroup PAC ID 5496082026, 7 clinicians

Practice addresses (Care Compare)

1275 W Granada Blvd
Suite 6a
Ormond Beach, FL 32174-8105
Phone (386) 449-8600

3623 Johnson Mill Blvd
Suite 103
Springdale, AR 72762-6412
Phone (479) 435-4207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanvista Counseling Associates, LLC CurrentSince May 17, 2022 Accepting new patients
Eason Counseling and Associates, LLC Clinical CurrentSince Jun 2, 2019 Accepting new patients

Locations

1450 N US Highway 1
Ste 500
Ormond Beach, FL 32174
Phone (386) 449-8600

1275 W Granada Blvd
Ste 6A
Ormond Beach, FL 32174
Phone (386) 236-9912

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1790070928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 OAK VISTA DRIVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32128",
            "telephone_number": "479-354-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8998 LANE LORAINE",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727567891",
            "telephone_number": "479-366-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENUART",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2420C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.