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INNOVATIVE RENEWAL THERAPY CENTER LLC
NPI 1689140063
Social Worker - Clinical in Onancock, VA

Active since October 23, 2018
73 MARKET ST, ONANCOCK, VA 23417(804) 657-7344 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Innovative Renewal Therapy Center Llc NPPES

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

INNOVATIVE RENEWAL THERAPY CENTER LLC (NPI 1689140063) is a healthcare organization registered as a clinical in Onancock, Virginia and active in the NPI registry since October 2018. The organization lists Edwana Cottman, Owner, as its authorized official.

NPPES Registry Identity

NPI1689140063
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINNOVATIVE RENEWAL THERAPY CENTER LLC
Location Address73 MARKET STOnancock, VA 23417-4223
Mailing Address73 Market StOnancock, VA 23417-4223 · (804) 657-7344
Phone(804) 657-7344
Organization SubpartNo
Authorized OfficialEdwana CottmanOwner · (804) 657-7344
Enumeration DateOctober 23, 2018
✔ NPI 1689140063 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.
73 MARKET ST, Onancock, VA 23417
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Other Identifiers 1

Other0904010387VA · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Renewal Therapy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innovative Renewal Therapy Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edwana Cottman, LCSW-C
Clinical Social Worker
NPI 1164927448
100 E CARROLL ST # 101102
Salisbury, MD 21801
(410) 630-7685
✔ PECOS46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Innovative Renewal Therapy Center LLC's NPI number?

The NPI number for Innovative Renewal Therapy Center LLC is 1689140063. It was assigned to this organization in the NPPES registry on October 23, 2018.

Where is Innovative Renewal Therapy Center LLC located?

Innovative Renewal Therapy Center LLC is located at 73 Market St, Onancock, VA 23417. The listed phone number is (804) 657-7344.

What is Innovative Renewal Therapy Center LLC's specialty?

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

Is Innovative Renewal Therapy Center LLC enrolled in Medicare?

Yes. Innovative Renewal Therapy Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Renewal Therapy Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Innovative Renewal Therapy Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovative Renewal Therapy Center LLC was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.