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RENEWED REBELLION WELLNESS COMPANY
NPI 1104776558
Social Worker in Waterloo, IA

Active since February 03, 2026
531 COMMERCIAL ST., #700, WATERLOO, IA 50701(319) 988-1413 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renewed Rebellion Wellness Company NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEWED REBELLION WELLNESS COMPANY (NPI 1104776558) is a healthcare organization registered as a social worker in Waterloo, Iowa and active in the NPI registry since February 2026. The organization lists Carly Lyn Heimerdinger, Lisw, as its authorized official.

NPPES Registry Identity

NPI1104776558
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameRENEWED REBELLION WELLNESS COMPANY
Location Address531 COMMERCIAL ST., #700Waterloo, IA 50701
Mailing Address531 Commercial St., #700Waterloo, IA 50701 · (319) 988-1413
Phone(319) 988-1413
Organization SubpartNo
Authorized OfficialCarly Lyn HeimerdingerLisw · (319) 988-1413
Enumeration DateFebruary 3, 2026
✔ NPI 1104776558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
531 COMMERCIAL ST., Waterloo, IA 50701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renewed Rebellion Wellness Company's NPI number?

The NPI number for Renewed Rebellion Wellness Company is 1104776558. It was assigned to this organization in the NPPES registry on February 3, 2026.

Where is Renewed Rebellion Wellness Company located?

Renewed Rebellion Wellness Company is located at 531 Commercial St. #700, Waterloo, IA 50701. The listed phone number is (319) 988-1413.

What is Renewed Rebellion Wellness Company's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Renewed Rebellion Wellness Company was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.