Antra Renault, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L16143 Issued in OR

Practice address

1440 Birch Ave # 10
Cottage Grove, OR 97424-1417

Phone

(541) 357-8082

Fax

(866) 931-2340

NPI assigned

Nov 12, 2013

Last updated

Jun 4, 2025By the provider in NPPES

Sex

Female

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

Enrolled in OR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Lamplight Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cottage Grove, OR
  • NPI 1609673391
  NPD Authorized official
• Options Counseling Services of Oregon

  dba Options Counseling and Family Services

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  NPD (past)

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1942630983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73560 ABEENE LN",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249201",
            "telephone_number": "541-357-8082",
            "fax_number": "866-931-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BIRCH AVE # 10",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241417",
            "telephone_number": "541-357-8082",
            "fax_number": "866-931-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 Oak St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013567",
            "country_code": "US",
            "telephone_number": "541-357-8082",
            "fax_number": "866-931-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENAULT",
        "first_name": "ANTRA",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Raney, QMHP
• Karissa Rea
• Alice Amelia Rear
• Angel Reeves, LMFT, IMH-E
• Helen Reilly, MA, MSW, QMHP
• Tammy Richardson, LPN
• Denise E Rigo, NP
• Christina Rinas
• Jon Roberts, CADC II, QMHA
• Jill Robertson, LPC, QMHP

• Clinical Social Worker in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.