Individual provider · Type 1 NPI

Rubyth Renteria, LCSW

Clinical Social Worker · Tyler, TX

NPI number 1750166690 Active

Practice location

121 S Broadway Ave Ste 806
Tyler, TX 75702-7293

Mailing address

2206 Garden Valley Rd
Tyler, TX 75702-4943

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X103479 (TX)

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 1750166690

Rubyth Renteria, LCSW's National Provider Identifier is 1750166690, issued on Aug 29, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tyler, TX. The record was last updated on Sep 18, 2026.