MEDICARE: RENEE MICHELLE BELL LCSWA, CASAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	P021766	NC

General Provider Information

NPI Number	:	1083093082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE MICHELLE BELL LCSWA, CASAC

Provider Business Mailing Address
First Line	:	930 GRAND CONCOURSE APT 3J
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-2706
Country	:	US
Telephone Number	:	646-912-3529
Fax Number	:

Provider Business Practice Location Address
First Line	:	1385 FULTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-2451
Country	:	US
Telephone Number	:	718-579-0805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2015
Last Update Date	:	02/04/2026

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