Randie Bauman-Renna, LMSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

083139 Issued in NY

Practice address

112 Franklin PL
Woodmere, NY 11598-1217

Phone

(516) 374-3671

Fax

(516) 374-7864

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tempo Group, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Woodmere, NY
  • NPI 1144206376
  NPD (past)
• Tempo Youth Services, Inc.

  • Social Worker
  • Woodmere, NY
  • NPI 1114628310
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1811366206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981217",
            "telephone_number": "516-374-3671",
            "fax_number": "516-374-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981217",
            "telephone_number": "516-374-3671",
            "fax_number": "516-374-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN-RENNA",
        "first_name": "RANDIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "083139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina M Barone, LMSW
• Jennifer Paige Bassiur, D.D.S.
• Martin Bassiur, D.D.S.
• Darra Meredith Battino, DPT
• Elaine Gladys Baum-Simon, MACCCLSP
• Patience Bear
• Mark P Bell, D.P.M.
• Marie Christine Beltran, RN
• Pesha Ben-Ami
• Julia Ben-Jacob, PA-C

• Addiction (Substance Use Disorder) Counselor in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.