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Renee Wyden, LCSW
NPI 1164416889 · Counselor · Jacksonville, FL
Renee Wyden, LCSW is a Counselor provider in Jacksonville, FL (NPI 1164416889).
Provider details
- NPI number
- 1164416889
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW6557 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2950 Halcyon Ln
Suite 703
Jacksonville, FL 32223-6689
Phone: (904) 638-7042
Street-level locationGet directions
Mailing address
2950 Halcyon Ln
Jacksonville, FL 32223-6689
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2011-04-06
Frequently asked questions
- What is Renee Wyden's NPI number?
- Renee Wyden's National Provider Identifier (NPI) is 1164416889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Renee Wyden's specialty?
- Renee Wyden is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Renee Wyden located?
- Renee Wyden's practice location on file with NPPES is 2950 Halcyon Ln, Jacksonville, FL 32223-6689.
- What is Renee Wyden's phone number?
- The practice phone number listed in the NPPES registry for Renee Wyden is (904) 638-7042.
- Is Renee Wyden's NPI active?
- Yes — Renee Wyden's NPI (1164416889) is active in the NPPES registry as of the last update on 2011-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.