Organization Active NPI

Rise and Renew Wellness PLLC

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1679442958
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISE AND RENEW WELLNESS PLLC
Practice address
7460 W Potter Dr
Glendale, AZ 85308-9672
Phone
(602) 316-1033
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Kelly GutowskiNPI 1497989495
Title
Ceo/Therapist
Phone
(602) 316-1033

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

7460 W Potter Dr
Glendale, AZ 85308-9672

Mailing address

20118 N 67TH Ave Ste 300-193
Glendale, AZ 85308-4621

National Provider Directory

National Provider Directory

Locations

20118 N 67th Ave
Ste 300193
Glendale, AZ 85308
Phone (480) 974-9251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1679442958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-193",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 W POTTER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089672",
            "telephone_number": "602-316-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE AND RENEW WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "GUTOWSKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "602-316-1033"
    },
    "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 Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.