Organization Active NPI

Evolve Restorative Wellness, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1184581167
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EVOLVE RESTORATIVE WELLNESS, LLC
Practice address
6404 Sefton Ave
Baltimore, MD 21214-1428
Phone
(410) 627-1176
NPI assigned
Jan 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Erica Monique Cook, LCSW-CNPI 1730545773
Title
Social Worker/ Founder
Phone
(301) 578-6660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6404 Sefton Ave
Baltimore, MD 21214-1428

Mailing address

6404 Sefton Ave
Baltimore, MD 21214-1428

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1184581167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 SEFTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 SEFTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141428",
            "telephone_number": "410-627-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE RESTORATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "SOCIAL WORKER/ FOUNDER",
        "authorized_official_telephone_number": "301-578-6660",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.