LESLIE L RENNER (NPI# 1770596199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770596199 |
| Entity Type | Individual |
| Full Name | LESLIE L RENNER |
| Credential | LCSW |
| Practice Address |
25166 Marion Ave Ste 112 Punta Gorda FL 33950-4017 |
| Practice Telephone | 9414676367 |
| Mailing Telephone | 9414676367 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
SW6138 | FL | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | SW6138 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS | Z1902 | 01 |
| Street Address |
25166 MARION AVE STE 112 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386943710 | Skk,llc | In Home Supportive Care | 25166 Marion Ave, Unit 114, Punta Gorda, FL 33950-4017 | 2011-03-24 |
| 1588965503 | Jill Husson Martinez | Psychiatry & Neurology | 25166 Marion Ave, Suite 111, Punta Gorda, FL 33950-4017 | 2010-11-08 |
| 1396045837 | Bruce Laflen | Social Worker | 25166 Marion Ave, Ste 112, Punta Gorda, FL 33950-4017 | 2010-11-01 |
| 1932415155 | Cts Addiction & Counseling Services LLC | Psychologist | 25166 Marion Ave, Ste 112, Punta Gorda, FL 33950-4017 | 2010-08-25 |
| 1447498589 | Kimberly Wilcox | Psychologist | 25166 Marion Ave, Ste 112, Punta Gorda, FL 33950-4017 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104192400 | Janie Brynolf | Social Worker | 25078 Purple Emperor Way, Punta Gorda, FL 33955-6220 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023073 | Georgia Vernon | Social Worker | 10600 Bloomfield Dr Apt 827, Orlando, FL 32825-5907 | 2020-11-06 |
| 1174124424 | Beatrice Ann Thomas | Social Worker | 11275 Nw 21st St, Coral Springs, FL 33071-5736 | 2020-11-03 |
| 1962002493 | Shannon Massey-curtis | Social Worker | 1709 Pilchard Dr, Poinciana, FL 34759-4722 | 2020-10-26 |
| 1841899093 | Vladimir Rubio | Social Worker | 1929 Sw 21st Ter, Miami, FL 33145-2611 | 2020-10-20 |
| 1487251138 | Tiffany Lynch | Social Worker | 575 Oakleaf Plantation Pkwy Unit 416, Orange Park, FL 32065-3575 | 2020-10-06 |
| 1376140202 | Kevin Dalfonso | Social Worker | 7470 Inspira Cir Unit 3105, Naples, FL 34113-1782 | 2020-10-05 |
| 1942807011 | Yipsy Leonor Marante Santos | Social Worker | 7382 Nw 35th Ter, Miami, FL 33122-1241 | 2020-10-02 |
| 1043827249 | Monica Patricia Robles | Social Worker | 6960 Camille St, Boynton Beach, FL 33437-6056 | 2020-09-30 |
| 1891302444 | Ebony Morris | Social Worker | 1500 Lewis Turner Blvd Apt M103, Fort Walton Beach, FL 32547-7211 | 2020-09-28 |
| 1831706621 | Paola Bezek | Social Worker | 14471 Sw 289th Ter, Homestead, FL 33033-2930 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.