Active NPI
Renewed Mental Health, LLC
- Clinical Social Worker
- Florence, AL
National Provider Identifier
1154023992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Allison Smalley, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Florence, AL
- NPI 1700427119
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
- Renaissance Mind and Body, LLC
- Renaissance Orthopaedic Clinic, LLC
- Renal Treatment Centers-Southeast, LP.
- Renew Life Home Healthcare Agency
- Renew Physical Therapy and Performance, LLC
- Judy Gail Renwick, LPC
- Retina Specialists of North Alabama LLC
- Katy Reynolds
- Lauren Ashton Rhodes, CRNP
- Wayne Rhodes, LPC
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.