Renee E. Sampson Woodard, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0703666 Issued in NY

Practice address

14 Mills Rd
Walden, NY 12586-2807

Phone

(845) 313-0317

Fax

(914) 948-9564

NPI assigned

Feb 21, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1912176132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MILLS RD",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125862807",
            "telephone_number": "845-313-0317",
            "fax_number": "914-948-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MILLS RD",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125862807",
            "telephone_number": "845-313-0317",
            "fax_number": "914-948-9564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Pike St",
            "address_purpose": "LOCATION",
            "city": "Port Jervis",
            "state": "NY",
            "postal_code": "127711808",
            "country_code": "US",
            "telephone_number": "845-858-1456",
            "fax_number": "845-378-3283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON WOODARD",
        "first_name": "RENEE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0703666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanita Michelle Reynolds, RN,MSN,CMSRN,NE-BC
• Lorina Robles
• Ellen Sue Rodas, SLP MS CCC
• Heather Roell
• Christopher Ross, CASAC-T
• Ashley N Schmidt
• Karen J Schreiber, MHA BSN
• Liliana Schuyler
• Dionne Rene Scott-Boissard, LMHC
• Cindy Herron Scullion, CASAC

• Clinical Social Worker in Walden, NY
• Providers in Walden, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.