Organization Active NPI

Renaissance Clinical Services

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1982205704
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENAISSANCE CLINICAL SERVICES
Practice address
4495 Hale Pkwy Ste 114
Denver, CO 80220-6203
Phone
(303) 523-3698
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Mr. Renee Veronica Rivera, LCSWNPI 1184198723
Title
Owner/Psychotherapist
Phone
(303) 523-3698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4495 Hale Pkwy Ste 114
Denver, CO 80220-6203

Mailing address

1044 Milwaukee St
Denver, CO 80206-3338
Phone (303) 523-3698

Other names 1

  • Renaissance Therapy Denver Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201123001606 CO Part B Supplier - Clinic/Group Practice 8628489689 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

4495 Hale Pkwy
Ste 114
Denver, CO 80220
Phone (303) 523-3698

4495 Hale Pkwy
Ste 212
Denver, CO 80220
Phone (303) 523-3698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1982205704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 MILWAUKEE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063338",
            "telephone_number": "303-523-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 HALE PKWY STE 114",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802206203",
            "telephone_number": "303-523-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "303-523-3698",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Therapy Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renaissance Therapy Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.