=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942096714
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RENEE'S COUNSELING, LCSW, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2025
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 420 E GERMAN ST STE 3
-----------------------------------------------------
City | HERKIMER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13350-1049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-316-1533
-----------------------------------------------------
Fax | 315-501-2646
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 519 THOMPSON RD
-----------------------------------------------------
City | LITTLE FALLS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13365-4025
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-848-6932
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/THERAPIST
-----------------------------------------------------
Name | RENEE COMSTOCK
-----------------------------------------------------
Credential | LCSW-R
-----------------------------------------------------
Telephone | 518-848-6932
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------