Be Renewed Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015995 Issued in PA

Legal business name

BE RENEWED COUNSELING

Practice address

342 Duquesne Way
Sewickley, PA 15143-1458

Phone

(412) 420-4095

Fax

(412) 749-2150

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Martha C Selleck, LCSW

Title

Owner

Phone

(412) 420-4095

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1548618903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 DUQUESNE WAY",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431458",
            "telephone_number": "412-420-4095",
            "fax_number": "412-749-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 DUQUESNE WAY",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431458",
            "telephone_number": "412-420-4095",
            "fax_number": "412-749-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE RENEWED COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "SELLECK",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-420-4095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902886112",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anastasia Barthelemy, PA-C
• Carl L Baughman, LMFT
• Ivan A Baumwell, M.D.
• Mary Elizabeth Baun, RD, LDN, CDE
• Kate Bayer, MA, CCC/A
• Amy Beadling, LCSW
• Lori Beall, R.N.
• Donna M. Bednarek, PH.D, LICENSED PSYCH
• Claire Beezhold, FNP
• Eric Begly, PAC

• Clinical Social Worker in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.