NPIMap

Organization Active NPI

Renewed Promise, PLLC

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1609563360
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENEWED PROMISE, PLLC
Practice address
4711 Duncastle Rd
Apt 1E
Fayetteville, NC 28314
Phone
(910) 759-8779
NPI assigned
Apr 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Ashley Grace Clocher, LCSWNPI 1891121372
Title
Member/Organizer
Phone
(910) 759-8779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4711 Duncastle Rd
Apt 1E
Fayetteville, NC 28314

Mailing address

439 Westwood Shopping Ctr Ste 497
Fayetteville, NC 28314-1532
Phone (910) 759-8779

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.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1609563360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WESTWOOD SHOPPING CTR STE 497",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141532",
            "telephone_number": "910-759-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 DUNCASTLE RD",
            "address_2": "APT 1E",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28314",
            "telephone_number": "910-759-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED PROMISE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "CLOCHER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "910-759-8779",
        "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": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.