Renew Roots Counseling Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEW ROOTS COUNSELING SERVICES, PLLC

Practice address

3620 Raleigh Rd Ste 8
Henderson, NC 27537-7463

Phone

(984) 308-5533

NPI assigned

Nov 3, 2026

Last updated

Nov 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doniqua Clark, LCSW

Title

Ceo

Phone

(984) 308-5533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793664000000",
    "number": "1962301382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2082",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362082",
            "telephone_number": "984-308-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 RALEIGH RD STE 8",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275377463",
            "telephone_number": "984-308-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW ROOTS COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DONIQUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "984-308-5533",
        "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": []
}

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• Clinical Social Worker in Henderson, NC
• Providers in Henderson, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.