Renewal Room LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEWAL ROOM LLC

Practice address

91 Grand Valley Ave Unit D
Orwell, OH 44076-9566

Phone

(440) 202-9109

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Fisher Cross, LISW-SUPVNPI 1881188118

Title

Owner

Phone

(440) 202-9109

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jessica Fisher Cross, LISW-SUPV

  • Clinical Social Worker
  • Orwell, OH
  • NPI 1881188118

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1295560977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GRAND VALLEY AVE UNIT D",
            "city": "ORWELL",
            "state": "OH",
            "postal_code": "440769566",
            "telephone_number": "440-290-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GRAND VALLEY AVE UNIT D",
            "city": "ORWELL",
            "state": "OH",
            "postal_code": "440769566",
            "telephone_number": "440-202-9109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "392 Jefferson Point",
            "address_purpose": "LOCATION",
            "city": "Roaming Shores",
            "state": "OH",
            "postal_code": "44084",
            "country_code": "US",
            "telephone_number": "440-290-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWAL ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "FISHER CROSS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-202-9109",
        "authorized_official_credential": "LISW-SUPV"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Orwell, OH
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.