Renee Castile
Individual provider Active NPI Social Worker · Gotha, FL
NPI 1962839241 · NPPES record last updated Oct 2, 2013
Key facts
- NPI
- 1962839241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 9314 Lake Fischer Blvd
Gotha, FL 34734-5203 - Phone
- (407) 592-3832
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & S Quality Care | Past | Accepting new patients | |
| A & S Quality Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
9314 Lake Fischer Blvd
Gotha, FL 34734-5203
Mailing address
9314 Lake Fischer Blvd
Gotha, FL 34734-5203
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00652600 | Medicaid | FL |
Other providers in Gotha, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.