Renew Wellness & Psychotherapy, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

RENEW WELLNESS & PSYCHOTHERAPY, LLC

Practice address

641 N 13TH St Ste E-101
Easton, PA 18042-1430

Phone

(484) 725-0072

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Simon Asayag, LCSW, ACSW, CAADCNPI 1750765319

Title

Partner

Phone

(484) 725-0072

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Natalie A Asayag, MSW, LCSW

  • Clinical Social Worker
  • Easton, PA
  • NPI 1922442201

  PA, Single Specialty

  Medicare reassignment NPD
• Jonathan S. Asayag, LCSW, ACSW, CAADC

  • Social Worker
  • Easton, PA
  • NPI 1750765319
  NPD Authorized official

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1376082610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W. LAFAYETTE ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18042",
            "telephone_number": "484-725-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 N 13TH ST STE E-101",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180421430",
            "telephone_number": "484-725-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WELLNESS & PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "ASAYAG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "484-725-0072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, ACSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Easton, PA
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.