Organization Active NPI

Renewed Mental Health, LLC

  • Clinical Social Worker
  • Florence, AL
National Provider Identifier
1154023992
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENEWED MENTAL HEALTH, LLC
Practice address
623 S Seminary St Ste 112
Florence, AL 35630-5618
Phone
(256) 577-3966
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Allison Smalley, LICSWNPI 1700427119
Title
Licensed Clinical Social Worker
Phone
(256) 577-3966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

623 S Seminary St Ste 112
Florence, AL 35630-5618

Mailing address

536 County Road 122
Florence, AL 35634-3594
Phone (256) 577-3966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231206002274 AL Part B Supplier - Clinic/Group Practice 8729437413 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

623 S Seminary St
Ste 112
Florence, AL 35630
Phone (256) 577-3966

623 S Seminary St
Florence, AL 35630
Phone (256) 415-7576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1154023992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 COUNTY ROAD 122",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356343594",
            "telephone_number": "256-577-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S SEMINARY ST STE 112",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305618",
            "telephone_number": "256-577-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "SMALLEY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "256-577-3966",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.