1. Home
  2. Directory
  3. Connecticut
  4. Stonington
  5. Social Worker
  6. NPI Profile

MIND BODY RISE
NPI 1003481755
Social Worker - Clinical in Stonington, CT

Active since May 25, 2021
808 STONINGTON RD STE 200, STONINGTON, CT 06378(860) 535-9922 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Nov 4, 2021, Jul 1, 2021 and 1 more (4 updates tracked since 2021).

About Mind Body Rise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND BODY RISE (NPI 1003481755) is a healthcare organization registered as a clinical in Stonington, Connecticut and active in the NPI registry since May 2021. The organization lists Terri Fogg Donovan, Owner, as its authorized official.

NPPES Registry Identity

NPI1003481755
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIND BODY RISE
Location Address808 STONINGTON RD STE 200Stonington, CT 06378-2517
Mailing Address808 Stonington RdStonington, CT 06378-2530 · (860) 535-9922
Phone(860) 535-9922
Organization SubpartNo
Authorized OfficialTerri Fogg DonovanOwner · (860) 912-9584
Enumeration DateMay 25, 2021
Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1003481755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
808 STONINGTON RD STE 200, Stonington, CT 06378
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PAMELA ELIZABETH MIRANTE L.C.S.W.
Social Worker (Clinical)
808 STONINGTON RD STE 200
STONINGTON, CT 06378
Southeastern Connecticut Planning Region (860) 204-6589

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Body Rise's NPI number?

The NPI number for Mind Body Rise is 1003481755. It was assigned to this organization in the NPPES registry on May 25, 2021.

Where is Mind Body Rise located?

Mind Body Rise is located at 808 Stonington Rd Ste 200, Stonington, CT 06378. The listed phone number is (860) 535-9922.

What is Mind Body Rise's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mind Body Rise was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.