Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Renn IV

Individual provider Professional Counselor · NPI 1720490030

Paul Renn IV is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Osh - PA Physicians Group, PC, a 114-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2014
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Practice location Address checks out

2310 Christopher Columbus Blvd
Philadelphia, PA 19148-4206
Phone: (215) 867-7098
Fax: (267) 288-0389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5201 Haverford Ave, Philadelphia, PA 19139-1401 — (215) 471-2761

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CW019392 (PA)

Record details

NPI number1720490030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2014
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Osh - Pa Physicians Group, Pc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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