Renner, Leslie L

Renner, Leslie L is an individual health care provider with primary practice located at 25166 Marion Ave Ste 112, Punta Gorda FL 33950-4017. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Renner, Leslie L can be contacted via phone (941) 467-6367.

Contact Information

Primary practice address
25166 Marion Ave Ste 112 Punta Gorda FL 33950-4017
Phone: (941) 467-6367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW6138 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X SW6138 Florida

Profile Details

NPI number 1770596199
LBN Legal business name Renner, Leslie L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 18th, 2012 - about 14 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 1770596199 NPPES
Florida Other Z1902 BLUE CROSS

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