Provider Demographics
NPI:1982211215
Name:OXFORD, RENAE (LCSW)
Entity Type:Individual
Prefix:
First Name:RENAE
Middle Name:
Last Name:OXFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 ALSTON BAY BLVD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-8456
Mailing Address - Country:US
Mailing Address - Phone:407-953-4744
Mailing Address - Fax:
Practice Address - Street 1:377 MAITLAND AVE STE 1006
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5442
Practice Address - Country:US
Practice Address - Phone:407-461-6779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW158361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical