Provider Demographics
NPI:1164666582
Name:ARNOLD, MAUREEN RENEE RENSHAW (LCSW)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:RENEE RENSHAW
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:M. RENEE
Other - Middle Name:
Other - Last Name:RENSHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:1409 BROWNING ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-4335
Mailing Address - Country:US
Mailing Address - Phone:800-632-6074
Mailing Address - Fax:866-341-7509
Practice Address - Street 1:1409 BROWNING ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-4335
Practice Address - Country:US
Practice Address - Phone:800-632-6074
Practice Address - Fax:866-341-7509
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0069601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical