Restoration Wellness Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESTORATION WELLNESS GROUP LLC

Practice address

222 E Main St Ste C
Auburn, WA 98002-5440

Phone

(253) 501-6199

NPI assigned

Feb 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shermoin ClardyNPI 1538927686

Title

Owner

Phone

(253) 501-6199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shermoin Rena Clardy, LICSW, SUDPT

  • Clinical Social Worker
  • Everett, WA
  • NPI 1538927686
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1104630078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST STE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST STE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025440",
            "telephone_number": "253-501-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "CLARDY",
        "authorized_official_first_name": "SHERMOIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-501-6199"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Renick, LMHCA, CDP
• Jackie M Renn
• Renovo Chiropractic & Wellness LLC
• Treyvin Frayre Reonal
• Restart Chiropractic LLC
• Dixie Leah Reynolds, ARNP
• Rowena Lily Bel P Reyrao, MD
• Elizabeth Rhinehart, LMP
• Amber Rhodes, M.A., LMHCA
• Shannon Marie Rice, ARNP, FNP-BC

• Clinical Social Worker in Auburn, WA
• Providers in Auburn, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.