John Louis Renzulli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

51 Sherman Hill Rd
Ste A202
Woodbury, CT 06798-3648

Phone

(203) 819-3680

NPI assigned

Jun 8, 2006

Last updated

Dec 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John Louis Renzulli

  • Clinical Social Worker
  • Woodbury, CT
  • NPI 1518375898
  NPD (past) Authorized official
• Community Health and Wellness Center of Greater Torrington Inc

  • Primary Care Clinic/Center
  • Torrington, CT
  • NPI 1356318091
  NPD
• Community Health and Wellness Center of Greater Torrington Inc

  • Federally Qualified Health Center (FQHC)
  • Winsted, CT
  • NPI 1902757149
  NPD
• Stokes Counseling Services LLC

  • Professional Counselor
  • Naugatuck, CT
  • NPI 1134541469

  Clinical

  NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634
  NPD
• Rhoda L Kreisman PH D

  dba Child & Family Psychotherapy Center

  • Psychologist
  • Wallingford, CT
  • NPI 1508061466
  NPD (past)
• Southington Behavioral Health Center for Children and Families, LLC

  • Clinical Social Worker
  • Southington, CT
  • NPI 1518914746
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1790726214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 STILL HILL RD",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067511010",
            "telephone_number": "203-819-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SHERMAN HILL RD",
            "address_2": "STE A202",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983648",
            "telephone_number": "203-819-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZULLI",
        "first_name": "JOHN",
        "middle_name": "LOUIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porter & Girgasky, Inc. (Woodbury Drug)
• Steven Prasinos, PH.D.
• Premier Care of Woodbury
• Regional School District #14
• Estella Reinhardt
• Riverpath Counseling LLC
• Robert S McWilliam MD LLC
• Joseph Roberts III, DC
• Melissa Roberts, D.C
• Michael W Rosen, M.D.

• Clinical Social Worker in Woodbury, CT
• Providers in Woodbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.