Renewed Image Youth & Family Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEWED IMAGE YOUTH & FAMILY SERVICES, LLC

Practice address

15 Broad St
Sumter, SC 29150-4224

Phone

(803) 902-5929

NPI assigned

Nov 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shaniqua Lesesne, LISW-CPNPI 1225383102

Title

Owner/Practitioner

Phone

(803) 460-6694

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

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

• Shaniqua Lesesne, LISW-CP, EDD

  • Mental Health Counselor
  • Sumter, SC
  • NPI 1225383102
  Medicare reassignment NPD Authorized official
• Africa Josey

  • Mental Health Counselor
  • Sumter, SC
  • NPI 1356805733
  Medicare reassignment NPD
• Earnell McGhaney II

  • Professional Counselor
  • Greenville, SC
  • NPI 1538547658
  Medicare reassignment NPD
• Ladoshia Sinkler

  • Social Worker
  • Sumter, SC
  • NPI 1558233916
  NPD
• Melisha McClary-Hermitt

  • Social Worker
  • Sumter, SC
  • NPI 1497609895
  NPD (past)

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

{
    "created_epoch": "1700697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700697600000",
    "number": "1962277541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504224",
            "telephone_number": "803-902-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504224",
            "telephone_number": "803-902-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED IMAGE YOUTH & FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-23",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A",
        "authorized_official_last_name": "LESESNE",
        "authorized_official_first_name": "SHANIQUA",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "803-460-6694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Antoinette Reeves, DMD
• Sara Elizabeth Clyburn Reid, PHARMD
• Kimberly W Reisenauer, P.A.
• Jordan Thomas Reizer I, DC
• Reliable Medical Equipment of South Carolina, LLC
• Restorative Arts Dental PA
• Restorative Arts Dental PA
• Andrew J. Reynolds, MD
• Edward Roger Reynolds Jr., PAC
• Jeremy Allen Rhodes, DO

• Clinical Social Worker in Sumter, SC
• Providers in Sumter, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; 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.