Organization Active NPI

Renewal, Growth, & Healing

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1679141972
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENEWAL, GROWTH, & HEALING
Practice address
8545 Patterson Ave Ste 201
Henrico, VA 23229-6455
Phone
(804) 901-1570
Fax
(804) 442-7111
NPI assigned
Jun 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Mrs. Dreamel Spady, LCSWNPI 1992095525
Title
Owner
Phone
(804) 901-1570

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8545 Patterson Ave Ste 201
Henrico, VA 23229-6455

Mailing address

8545 Patterson Ave Ste 201
Henrico, VA 23229-6455
Phone (804) 901-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210805000499 VA Part B Supplier - Clinic/Group Practice 5799189270 Receives reassigned benefits from 3 practitioners
Practice locations: Henrico, VA

National Provider Directory

National Provider Directory

Locations

8545 Patterson Ave
Ste 201
Richmond, VA 23229
Phone (804) 372-7463

Practitioners & affiliated clinicians

Practitioners 5

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": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1679141972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8545 PATTERSON AVE STE 201",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296455",
            "telephone_number": "804-901-1570",
            "fax_number": "804-442-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8545 PATTERSON AVE STE 201",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296455",
            "telephone_number": "804-901-1570",
            "fax_number": "804-442-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL, GROWTH, & HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "SPADY",
        "authorized_official_first_name": "DREAMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-901-1570",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.