ALEXANDRA MARIE NDEGWA RENNEBOHM
NPI 1659774628
Social Worker - Clinical in Renton, WA

Active since October 03, 2014PECOS Enrolled
1200 SW 27TH ST, RENTON, WA 98057(206) 630-1680 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2022, Aug 12, 2021, Jul 1, 2019 and 2 more (5 updates tracked since 2017).

About Alexandra Marie Ndegwa Rennebohm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA MARIE NDEGWA RENNEBOHM (NPI 1659774628) is an individual clinical provider in Renton, Washington, licensed in Washington (LW61118940) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tukwila.

NPPES Registry Identity

NPI1659774628
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALEXANDRA MARIE NDEGWA RENNEBOHM
Location Address1200 SW 27TH STRenton, WA 98057-2603
Mailing Address1200 Sw 27th StRenton, WA 98057-2603 · (206) 630-1680
Sole ProprietorNo
Enumeration DateOctober 3, 2014
Last NPPES UpdateSeptember 1, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
NPI 1659774628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW61118940
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License LW61118940 (WA)
1200 SW 27TH ST, Renton, WA 98057

Other Names 1

Former Name (1)Alexandra Marie Ndegwa

Secondary Practice Location 1

Location 113925 Interurban Ave S Ste 120Tukwila, WA 98168-5726 · Phone (206) 948-0096

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alexandra Marie Ndegwa Rennebohm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1200 SW 27TH ST
RENTON, WA 98057
Social Worker
1200 SW 27TH ST
RENTON, WA 98057
Marriage & Family Therapist
1200 SW 27TH ST
RENTON, WA 98057
Social Worker (Clinical)
1200 SW 27TH ST
RENTON, WA 98057
Marriage & Family Therapist
1200 SW 27TH ST
RENTON, WA 98057
Pharmacy Technician
1200 SW 27TH ST
RENTON, WA 98057
Counselor (Mental Health)
1200 SW 27TH ST
RENTON, WA 98057
Pharmacist
1200 SW 27TH ST
RENTON, WA 98057

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Ndegwa Rennebohm's NPI number?

The NPI number for Alexandra Ndegwa Rennebohm is 1659774628. It was assigned to this individual provider in the NPPES registry on October 3, 2014. The provider is also known as Alexandra Marie Ndegwa.

Where is Alexandra Ndegwa Rennebohm located?

Alexandra Ndegwa Rennebohm practices at 1200 SW 27th St, Renton, WA 98057. The listed phone number is (206) 630-1680.

What is Alexandra Ndegwa Rennebohm's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alexandra Ndegwa Rennebohm enrolled in Medicare?

Yes. Alexandra Ndegwa Rennebohm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Ndegwa Rennebohm was last updated on September 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.