Rising Wellness Counseling LLC
Organization Active NPI Clinical Social Worker · Rising Sun, MD
NPI 1619686649 · NPPES record last updated Apr 7, 2023
Key facts
- NPI
- 1619686649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- RISING WELLNESS COUNSELING LLC
- Practice address
- 47 Simmers Rd
Rising Sun, MD 21911-2304 - Phone
- (443) 350-4667
- NPI assigned
- Nov 17, 2022
- Organization subpart
- No
Authorized official
- Name
- Evann L Reichenbach, LCSW-C
- Title
- Owner
- Phone
- (443) 350-4667
Practitioners 5
-
Jennifer Detter, LCSW-C
-
Kerry Kathleen McCommons, LCPC
-
Evann Lynne Reichenbach, LMSW
-
Jennifer Lynn White, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221221001339 | MD | Part B Supplier - Clinic/Group Practice | 0840660577 |
Receives reassigned benefits from 4 practitioners Practice locations: Rising Sun, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
47 Simmers Rd
Rising Sun, MD 21911-2304
Mailing address
47 Simmers Rd
Rising Sun, MD 21911-2304
Phone (443) 350-4667
Other providers in Rising Sun, MD
- Kaitlan Phillips
- Physiotherapy Associates - Union Rehab LLC
- Jonathan Michael Pilgrim
- Antonio Eacdine Pomponi
- Razullah Khwaja, M.D.
- Rodney P. Donham, D.O.
- Tiffany Royer
- Safe Harbor Christian Counseling of Cecil County
- Sightrite Medical MD LLC
- Julia Smail
All providers in Rising Sun, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.