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NPI Code Detail

MEDICARE: MS. ELIZABETH RENDE-BAKSHI LCSW

MEDICARE: MS. ELIZABETH RENDE-BAKSHI LCSW
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
1390200000XStudent in an Organized Health Care Education/Training Program
21041C0700XClinical Social Worker085588NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114082229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH RENDE-BAKSHI LCSW
Provider Business Mailing Address
First Line : 1831 MADISON AVE APT 6M
Second Line :
City : NEW YORK
State : NY
Zip : 10035-2754
Country : US
Telephone Number : 914-494-6043
Fax Number :
Provider Business Practice Location Address
First Line : 529 COURTLANDT AVE FL 5
Second Line :
City : BRONX
State : NY
Zip : 10451-5007
Country : US
Telephone Number : 718-993-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 06/04/2020

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