Provider Demographics
NPI:1770095564
Name:CARDONE, RENEE JOAN (MSW)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:JOAN
Last Name:CARDONE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2013
Mailing Address - Country:US
Mailing Address - Phone:570-850-6357
Mailing Address - Fax:
Practice Address - Street 1:201 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1952
Practice Address - Country:US
Practice Address - Phone:610-948-0393
Practice Address - Fax:610-948-4372
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0166471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical