Individual provider Active NPI

Veronica Cristina Renderos, LMSW

  • Social Worker
  • Gaithersburg, MD
National Provider Identifier
1801565379
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
27786 Issued in MD
Practice address
11 Fifeshire CT
Gaithersburg, MD 20886-0475
Phone
(240) 535-9325
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 27786 MD Primary

Addresses

Primary practice location

11 Fifeshire CT
Gaithersburg, MD 20886-0475

Mailing address

11 Fifeshire CT
Gaithersburg, MD 20886-0475
Phone (240) 535-9325

Other practice location 1

711 W 40th St Ste 358
Baltimore, MD 21211-2111
Phone (443) 350-0813

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27786MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sue Brown, LLC PastSince Nov 26, 2023 Accepting new patients

Organizations & group practices 1

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1801565379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FIFESHIRE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208860475",
            "telephone_number": "240-535-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FIFESHIRE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208860475",
            "telephone_number": "240-535-9325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W 40th St Ste 358",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212112111",
            "country_code": "US",
            "telephone_number": "443-350-0813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENDEROS",
        "first_name": "VERONICA",
        "middle_name": "CRISTINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.