Amelia Marie Renshaw, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

159 Blue Valley Dr
Bangor, PA 18013-1511

Phone

(610) 452-9199

NPI assigned

Jun 29, 2011

Last updated

Sep 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creative Pathways Counseling LLC

  • Mental Health Counselor
  • Bangor, PA
  • NPI 1922025964
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1851688725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131511",
            "telephone_number": "610-452-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131511",
            "telephone_number": "610-452-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSHAW",
        "first_name": "AMELIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie W Reagan, LCSW
• Recovery Revolution, Inc.
• Allison Marie Reduzzi
• Reflective Artistry Studio and Counseling, LLC
• Lauren Evan Regina, R.D.
• Resources for Human Development
• Rinaldi Family Dentistry, LLC
• Jerome Michael Rinaldi, DMD
• Edward Leo Rising, COTA
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01384)

• Clinical Social Worker in Bangor, PA
• Providers in Bangor, 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 Sep 5, 2012; 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.