KELLY SUE RENZONI (NPI# 1659918324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659918324 |
| Entity Type | Individual |
| Full Name | KELLY SUE RENZONI |
| Credential | LCSW |
| Practice Address |
6125 Green Bay Rd Ste 700 Kenosha WI 53142-2928 |
| Practice Telephone | 2626540487 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9424 | WI | Behavioral Health & Social Service Providers |
| Street Address |
6125 GREEN BAY RD STE 700 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228559 | Beloved Wellness Center, LLC | Social Worker | 3535 30th Ave Ste 207, Kenosha, WI 53144-1632 | 2020-03-02 |
| 1457981730 | Robyn Aronin | Social Worker | 8331 64th St, Kenosha, WI 53142-7578 | 2020-01-25 |
| 1932603545 | Janice Finerty Lcsw LLC | Social Worker | 6520 67th St, Kenosha, WI 53142-1403 | 2018-03-19 |
| 1750747325 | Shellie K Babcock, Lcsw LLC | Social Worker | 705 50th St, Kenosha, WI 53140-3336 | 2016-01-12 |
| 1043683451 | Andrew S Bailey | Social Worker | 3601 30th Ave Suite 102, Kenosha, WI 53144-1642 | 2015-11-06 |
| 1124390869 | Victoria Mahboub | Social Worker | 6014 41st Ave, Kenosha, WI 53142-7025 | 2012-01-26 |
| 1750663480 | Thomas Michael Plaga | Social Worker | 5712 66th Pl, Kenosha, WI 53142-1237 | 2011-09-20 |
| 1114226826 | Shonda Lynn Gagliano | Social Worker | 7723 32nd Ave, Kenosha, WI 53142-4606 | 2011-03-21 |
| 1750403101 | Susan Marie Panger | Social Worker | 811 60th St, 2e, Kenosha, WI 53140-4074 | 2007-04-05 |
| 1740326370 | Paul Michael Defazio | Social Worker | 3734 7th Avenue, Suite 24, Kenosha, WI 53140 | 2007-01-30 |
| Find all providers in KENOSHA | ||||
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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.