Mrs Shannon Renzulli, LCSW is a
Social Worker - Clinical based in Stamford, Connecticut. Mrs Shannon Renzulli is licensed to practice in Connecticut (license number 010749) and her current practice location is
1200 High Ridge Rd, Stamford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 276-0935.
NPI number for Mrs Shannon Renzulli is 1346883386 and her current mailing address is 1200 High Ridge Rd, Stamford, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346883386.
Healthcare Provider's Profile
Full Name | Mrs Shannon Renzulli |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1200 High Ridge Rd, Stamford, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346883386
- Provider Enumeration Date: 10/22/2019
- Last Update Date: 03/15/2020
Medical Identifiers
Medical identifiers for Mrs Shannon Renzulli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346883386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 010749 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 010749 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Renzulli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shannon Renzulli, LCSW 1200 High Ridge Rd, Stamford, CT 06905-1223 Ph: (203) 276-0935 | Mrs Shannon Renzulli, LCSW 1200 High Ridge Rd, Stamford, CT 06905-1223 Ph: (203) 276-0935 |
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