RENEW WELLNESS LLC
NPI 1316538663
Social Worker - Clinical in Eagle, ID

Active since January 29, 2021
1281 E IRON EAGLE DR, EAGLE, ID 83616(208) 912-4011 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2021, Jan 29, 2021 (2 updates tracked since 2021).

About Renew Wellness Llc NPPES

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

RENEW WELLNESS LLC (NPI 1316538663) is a healthcare organization registered as a clinical in Eagle, Idaho and active in the NPI registry since January 2021. The organization lists Malisa Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1316538663
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRENEW WELLNESS LLC
Location Address1281 E IRON EAGLE DREagle, ID 83616-6599
Mailing Address5650 N Dalspring AveBoise, ID 83713-1315
Organization SubpartNo
Authorized OfficialMalisa WilliamsOwner · (208) 912-4011
Enumeration DateJanuary 29, 2021
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1316538663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

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.

1281 E IRON EAGLE DR, Eagle, ID 83616

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1281 E IRON EAGLE DR
EAGLE, ID 83616
Social Worker (Clinical)
1281 E IRON EAGLE DR
EAGLE, ID 83616
Physician Assistant (Medical)
1281 E IRON EAGLE DR
EAGLE, ID 83616
Surgery
1281 E IRON EAGLE DR
EAGLE, ID 83616
Social Worker (Clinical)
1281 E IRON EAGLE DR
EAGLE, ID 83616

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 Renew Wellness LLC's NPI number?

The NPI number for Renew Wellness LLC is 1316538663. It was assigned to this organization in the NPPES registry on January 29, 2021.

Where is Renew Wellness LLC located?

Renew Wellness LLC is located at 1281 E Iron Eagle Dr, Eagle, ID 83616. The listed phone number is (208) 912-4011.

What is Renew Wellness LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Renew Wellness LLC was last updated on February 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.