Provider Demographics
NPI:1083093082
Name:BELL, RENEE (CASAC)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 GRAND CONCOURSE
Mailing Address - Street 2:APT 3J
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-2705
Mailing Address - Country:US
Mailing Address - Phone:646-912-3529
Mailing Address - Fax:
Practice Address - Street 1:1385 FULTON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2451
Practice Address - Country:US
Practice Address - Phone:718-579-0805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker