Renewed Hope Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEWED HOPE THERAPY PLLC

Practice address

3333 E Broadway Ave Ste 1203
Bismarck, ND 58501-3371

Phone

(701) 934-1775

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly J Stevenson, LCSWNPI 1467113985

Title

Owner/LCSW

Phone

(701) 527-5545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

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

• Kimberly J Stevenson, LCSW

  • Clinical Social Worker
  • Bismarck, ND
  • NPI 1467113985

  Clinical, ND

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1346080249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E BROADWAY AVE STE 1203",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013371",
            "telephone_number": "701-934-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E BROADWAY AVE STE 1203",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013371",
            "telephone_number": "701-934-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HOPE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "701-527-5545",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonke Remezo
• Kelly David Remillard, D.C.
• Remillard, P.C.
• Kevin Keith Remington Jr., PHARMD
• Renewed Hope Care
• Abby Renae Renner, APRN, CNP
• Dawne Renner, RN
• Lucinda Marie Renner, PA-C
• Nicole Renner, MS, LPCC
• Tara J Renner

• All providers in Bismarck, ND
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.