RENEWED IMAGE YOUTH & FAMILY SERVICES, LLC
NPI 1962277541
Social Worker - Clinical in Sumter, SC

Q: What is Renewed Image Youth & Family Services, LLC's specialty?

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

Active since November 23, 2023

15 BROAD ST, SUMTER, SC 29150(803) 902-5929 Get Directions Write a Review

NPPES record last updated: November 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Renewed Image Youth & Family Services, Llc NPPES

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

RENEWED IMAGE YOUTH & FAMILY SERVICES, LLC (NPI 1962277541) is a healthcare organization registered as a clinical in Sumter, South Carolina and active in the NPI registry since November 2023. The organization lists Shaniqua Lesesne, Owner/practitioner, as its authorized official.

NPPES Registry Identity

NPI1962277541

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameRENEWED IMAGE YOUTH & FAMILY SERVICES, LLC

Location Address15 BROAD STSumter, SC 29150-4224

Mailing Address15 Broad StSumter, SC 29150-4224 · (803) 902-5929

Phone(803) 902-5929

Organization SubpartNo

Authorized OfficialShaniqua LesesneOwner/practitioner · (803) 460-6694

Enumeration DateNovember 23, 2023

NPPES CertifiedNovember 23, 2023

✔ NPI 1962277541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

15 BROAD ST, Sumter, SC 29150

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renewed Image Youth & Family Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Renewed Image Youth & Family Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Shaniqua Lesesne, LISW-CP, EDD

Clinical Social Worker

NPI 1225383102

15 BROAD ST
Sumter, SC 29150

(803) 902-5929

✔ PECOS✔ Accepts MedicareSame address

Africa Josey

Mental Health Counselor

NPI 1356805733

801 N PIKE W
Sumter, SC 29153

(803) 775-7898

✔ PECOS2.3 mi

Earnell Mcghaney

Mental Health Counselor

NPI 1538547658

1400 CLEVELAND ST
Greenville, SC 29607

(864) 467-3790

✔ PECOS131 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 Renewed Image Youth & Family Services, LLC's NPI number?

The NPI number for Renewed Image Youth & Family Services, LLC is 1962277541. It was assigned to this organization in the NPPES registry on November 23, 2023.

Where is Renewed Image Youth & Family Services, LLC located?

Renewed Image Youth & Family Services, LLC is located at 15 Broad St, Sumter, SC 29150. The listed phone number is (803) 902-5929.

What is Renewed Image Youth & Family Services, LLC's specialty?

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

Is Renewed Image Youth & Family Services, LLC enrolled in Medicare?

Yes. Renewed Image Youth & Family Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renewed Image Youth & Family Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Renewed Image Youth & Family Services, LLC, in Clinical Social Worker and Mental Health Counselor. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renewed Image Youth & Family Services, LLC accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Renewed Image Youth & Family Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renewed Image Youth & Family Services, LLC was last updated on November 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.