Individual provider · Type 1 NPI

Jenna Marie Renzulli

Clinical Social Worker · Boston, MA

NPI number 1003574401 Active

Practice location

150 S Huntington Ave
Boston, MA 02130-4817

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X9128 (CT)
Clinical Social Worker Primary 1041C0700XCSW03860 (RI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003574401

Jenna Marie Renzulli's National Provider Identifier is 1003574401, issued on Dec 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on May 2, 2025.