Active NPI
Renewed Perspectives PLLC
- Clinical Social Worker
- Agency, IA
National Provider Identifier
1205668258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RENEWED PERSPECTIVES PLLC
- Practice address
- 503 N Vine St
Agency, IA 52530-9763 - Phone
- (641) 799-7471
- NPI assigned
- Aug 19, 2024
- Last updated
- Aug 19, 2024
- 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
- Jacoby L Deshler, LISW
- Title
- Therapist
- Phone
- (641) 799-7471
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
503 N Vine St
Agency, IA 52530-9763
Mailing address
PO Box 31
Agency, IA 52530-0031
Phone (641) 799-7471
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Ottumwa, IA
- NPI 1518618453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1205668258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "AGENCY",
"state": "IA",
"postal_code": "525300031",
"telephone_number": "641-799-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 N VINE ST",
"city": "AGENCY",
"state": "IA",
"postal_code": "525309763",
"telephone_number": "641-799-7471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED PERSPECTIVES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "DESHLER",
"authorized_official_first_name": "JACOBY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "641-799-7471",
"authorized_official_credential": "LISW"
},
"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 Agency, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.