John Louis Renzulli, LCSW
Individual provider Active NPI Clinical Social Worker · Woodbury, CT
NPI 1790726214 · NPPES record last updated Dec 29, 2017
Key facts
- NPI
- 1790726214
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 51 Sherman Hill Rd
Ste A202
Woodbury, CT 06798-3648 - Phone
- (203) 819-3680
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002770 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stokes Counseling Services LLC | Clinical | Current |
Accepting new patients |
| Community Health and Wellness Center of Greater Torrington Inc | Current |
Accepting new patients | |
| Community Health and Wellness Center of Greater Torrington Inc | Current |
Accepting new patients | |
| Mental Health Specialty Group PA | Current |
Accepting new patients | |
| John Louis Renzulli | Clinical | Past |
Accepting new patients |
| Rhoda L Kreisman PH D | Past | Accepting new patients | |
| Southington Behavioral Health Center for Children and Families, LLC | Clinical | Past | Accepting new patients |
Locations
100 Pearl St
Hartford, CT 06103
Phone (860) 969-1463
16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341
469 Migeon Ave
Torrington, CT 06790
Phone (860) 387-0439
10 Center St
Winsted, CT 06098
Phone (860) 238-4211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CT | Yes |
Addresses
Primary practice location
51 Sherman Hill Rd
Ste A202
Woodbury, CT 06798-3648
Mailing address
156 Still Hill Rd
Bethlehem, CT 06751-1010
Phone (203) 819-3680
Other providers in Woodbury, CT
- Porter & Girgasky, Inc.
- Steven Prasinos
- Premier Care of Woodbury
- Regional School District #14
- Estella Reinhardt
- Riverpath Counseling LLC
- Robert S McWilliam MD LLC
- Joseph Roberts III
- Melissa Roberts
- Michael W Rosen
All providers in Woodbury, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.