Rendon, Jose Angel

Rendon, Jose Angel is an individual health care provider with primary practice located at 3103 Stonebridge Blvd , New Castle DE 19720-6741. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rendon, Jose Angel can be contacted via phone (832) 338-0940.

Contact Information

Primary practice address
3103 Stonebridge Blvd New Castle DE 19720-6741
Phone: (832) 338-0940
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 39126 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X Q1-001977 Delaware

Profile Details

NPI number 1700996402
LBN Legal business name Rendon, Jose Angel
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700996402 NPPES
Texas MEDICAID 174082101

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