RENEW THERAPY ASSOCIATES, PLLC (NPI# 1093171084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093171084 |
| Entity Type | Organization |
| Organization Name | RENEW THERAPY ASSOCIATES, PLLC |
| Practice Address |
455 Swiftside Dr Suite 102 Cary NC 27518-7200 |
| Mailing Address |
3029 Canopy Woods Dr Apex NC 27539-8794 |
| Practice Telephone | 9192718579 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-05-09 |
| Authorized Official Name | AMANDA SUPERVILLE (OWNER) |
| Authorized Official Telephone | 9192718579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C005337 | NC | Behavioral Health & Social Service Providers |
| Street Address |
455 SWIFTSIDE DR SUITE 102 |
| City | CARY |
| State | NC |
| Zip Code | 27518-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497822027 | Amanda Superville | Social Worker | 455 Swiftside Dr, Suite 102, Cary, NC 27518-7200 | 2006-11-29 |
| 1386198943 | Katherine Hawthorne Sutton | Counselor | 455 Swiftside Dr, Suite 102, Cary, NC 27518-7200 | 2016-08-11 |
| 1851693485 | Aliya M Gard | Chiropractor | 455 Swiftside Dr, Ste 103, Cary, NC 27518-7200 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400130 | Morgan Rudd | Social Worker | 534 Brisbane Woods Way, Cary, NC 27518-9249 | 2020-09-03 |
| 1568071587 | Mary Lynn Marus | Social Worker | 117 Bathgate Ln, Cary, NC 27513-5553 | 2020-07-27 |
| 1215566526 | Bloomed Within Pllc | Social Worker | 964 High House Rd, Cary, NC 27513-3574 | 2020-04-07 |
| 1639703804 | Fatima Funderburk | Social Worker | 1038 Alston Village Ln, Cary, NC 27519-1870 | 2020-02-26 |
| 1235692187 | Haley Dawn Moore | Social Worker | 900 Maroubra Loop Apt 8207, Cary, NC 27513-8850 | 2019-04-08 |
| 1861950230 | Lynn Rosan Morris | Social Worker | 211 Cranborne Ln, Cary, NC 27519-5917 | 2019-03-05 |
| 1497231393 | Hayat Shawwa | Social Worker | 5232 Koster Hill Pl, Cary, NC 27518-9270 | 2018-07-13 |
| 1396233532 | Alexis Gunipero Bunt | Social Worker | 547 Keisler Dr Ste 202, Cary, NC 27518-9309 | 2018-04-24 |
| 1306359740 | Jenique Taylor | Social Worker | 117 Mint Hill Dr, Cary, NC 27519-6930 | 2017-11-07 |
| 1326558933 | Nehal Outlaw | Social Worker | 124 Fox Briar Ln, Cary, NC 27518-8304 | 2017-10-09 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.