NPIMap

Organization Active NPI

Rise and Restore Wellness, LLC

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1376499962
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISE AND RESTORE WELLNESS, LLC
Practice address
909 Baltimore Blvd Ste 100
Westminster, MD 21157-7065
Phone
(443) 608-7351
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Elise Pennington, LCSW-CNPI 1255017562
Title
Licensed Clinical Social Worker
Phone
(443) 880-1632

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

909 Baltimore Blvd Ste 100
Westminster, MD 21157-7065

Mailing address

909 Baltimore Blvd Ste 100
Westminster, MD 21157-7065
Phone (443) 608-7351

National Provider Directory

National Provider Directory

Locations

909 Baltimore Blvd
Ste 100
Westminster, MD 21157
Phone (443) 608-7351

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": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1376499962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BALTIMORE BLVD STE 100",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577065",
            "telephone_number": "443-608-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BALTIMORE BLVD STE 100",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577065",
            "telephone_number": "443-608-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE AND RESTORE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "443-880-1632",
        "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 Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.