Organization Active NPI

Renew Therapeutic Services, LLC

Doing business as RTS

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1497263073
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15373 Issued in MD
Legal business name
RENEW THERAPEUTIC SERVICES, LLC
Doing business as
RTS
Practice address
3327 Superior LN Ste 206
Bowie, MD 20715-1941
Phone
(301) 717-7274
NPI assigned
Jan 17, 2018
Last updated
Jan 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Mrs. Marjorie Beauvoir McAllister, LCSW-C, LICSW
Title
Psychotherapist
Phone
(301) 717-7274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15373 MD Primary

Addresses

Primary practice location

3327 Superior LN Ste 206
Bowie, MD 20715-1941

Mailing address

12913 Victoria Heights Dr
Bowie, MD 20715-3017
Phone (301) 717-7274

Other names 1

  • RTS Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1497263073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12913 VICTORIA HEIGHTS DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153017",
            "telephone_number": "301-717-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 SUPERIOR LN STE 206",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151941",
            "telephone_number": "301-717-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "BEAUVOIR",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "301-717-7274",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.