REVITALIZING INNER SELF ESSENCE LLC
NPI 1114682960
Social Worker - Clinical in Pikesville, MD

Active since November 07, 2021
17 WARREN RD STE 3A, PIKESVILLE, MD 21208(410) 929-6632 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Revitalizing Inner Self Essence Llc NPPES

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

REVITALIZING INNER SELF ESSENCE LLC (NPI 1114682960) is a healthcare organization registered as a clinical in Pikesville, Maryland and active in the NPI registry since November 2021. The organization lists Christina Simmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1114682960
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVITALIZING INNER SELF ESSENCE LLC
Location Address17 WARREN RD STE 3APikesville, MD 21208-5001
Mailing AddressPo Box 1448Owings Mills, MD 21117-1403
Organization SubpartNo
Authorized OfficialChristina SimmonsOwner · (410) 929-6632
Enumeration DateNovember 7, 2021
NPPES CertifiedNovember 6, 2021
NPI 1114682960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
17 WARREN RD STE 3A, Pikesville, MD 21208

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
17 WARREN RD STE 3A
PIKESVILLE, MD 21208
Social Worker (Clinical)
17 WARREN RD STE 3A
BALTIMORE, MD 21208

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 Revitalizing Inner Self Essence LLC's NPI number?

The NPI number for Revitalizing Inner Self Essence LLC is 1114682960. It was assigned to this organization in the NPPES registry on November 7, 2021.

Where is Revitalizing Inner Self Essence LLC located?

Revitalizing Inner Self Essence LLC is located at 17 Warren Rd Ste 3A, Pikesville, MD 21208. The listed phone number is (410) 929-6632.

What is Revitalizing Inner Self Essence LLC'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 Revitalizing Inner Self Essence LLC was last updated on November 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.