Rise for Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC15487 Issued in ME

Legal business name

RISE FOR WELLNESS, LLC

Practice address

15 York St BLDG 9
Suite 201C
Biddeford, ME 04005-5532

Phone

(207) 391-4344

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

Miss Karalyn Ethel Corbett, LCSW

Title

Director of Clinical Services

Phone

(207) 391-4344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1528567492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 YORK ST BLDG 9",
            "address_2": "SUITE 201C",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040055532",
            "telephone_number": "207-391-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 YORK ST BLDG 9",
            "address_2": "SUITE 201C",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040055532",
            "telephone_number": "207-391-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE FOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "KARALYN",
        "authorized_official_middle_name": "ETHEL",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "207-391-4344",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC15487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.