Individual provider Active NPI

Renee Michelle Bellew, LICSW PIP

  • Clinical Social Worker
  • Attalla, AL
National Provider Identifier
1215218904
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1273-3856C Issued in AL
Practice address
306 7TH Ave NW
Attalla, AL 35954-2048
Phone
(256) 344-5155
Fax
(256) 344-5155
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

306 7TH Ave NW
Attalla, AL 35954-2048
Phone (256) 344-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20171220001666 AL Practitioner - Clinical Social Worker 9436417490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1273-3856CALMDMental Health Counselor
3078GALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling & Services LLC Clinical CurrentSince Sep 17, 2017 Accepting new patients

Locations

306 7th Ave NW
Attalla, AL 35954
Phone (205) 559-1197

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1273-3856C AL
Mental Health Counselor 101YM0800X 3078G AL
Clinical Social Worker 1041C0700X 1273-3856C AL Primary
Mental Health Counselor 101YM0800X

Addresses

NPPES NPI Registry

Primary practice location

306 7TH Ave NW
Attalla, AL 35954-2048

Mailing address

306 7TH Ave NW
Attalla, AL 35954-2048
Phone (256) 295-7402

Other practice location 1

1380 Briarcliff Rd
Rainbow City, AL 35906-7643
Phone (256) 295-7402

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1962945600OtherALTYPE 2 NPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2023.

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1215218904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 7TH AVE NW",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359542048",
            "telephone_number": "256-295-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 7TH AVE NW",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359542048",
            "telephone_number": "256-344-5155",
            "fax_number": "256-344-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Briarcliff Rd",
            "address_purpose": "LOCATION",
            "city": "Rainbow City",
            "state": "AL",
            "postal_code": "359067643",
            "country_code": "US",
            "telephone_number": "256-295-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLEW",
        "first_name": "RENEE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LICSW PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "1273-3856C",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3078G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1273-3856C",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1962945600",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attalla, AL

Sources for this page

Verify at the official NPI Registry.