Renew Behavioral Health & Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEW BEHAVIORAL HEALTH & WELLNESS

Practice address

11 Belleview Ave
Marlborough, MA 01752-1201

Phone

(617) 398-0057

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Grace Terrazas, LICSWNPI 1831489293

Title

Owner

Phone

(781) 330-1441

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Terrazas, LCSW

  • Clinical Social Worker
  • Marlborough, MA
  • NPI 1831489293
  NPD Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1942906409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 WASHINGTON ST STE 8-182",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027038406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BELLEVIEW AVE",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521201",
            "telephone_number": "617-398-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7O BOSTON POST RD",
            "address_2": "SUITE R3",
            "address_purpose": "LOCATION",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "01778",
            "country_code": "US",
            "telephone_number": "617-398-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEW BEHAVIORAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "TERRAZAS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-330-1441",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Reid-Williams
• De'Mona Reid
• Tangarie C Reid, MA, RBT
• Renal Carepartners of Marlborough, LLC
• Adam Michael Rene, MA
• Bella L Rengifo Garcia
• Alyssa Renkewitz
• Ledgerhood Julius Rennie Jr.
• Reprosource Fertility Diagnostics, Inc
• Kathryn Restivo

• Clinical Social Worker in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.