Provider Demographics
NPI:1538021761
Name:RISE WITHIN THERAPY STUDIO CLINICAL SOCIAL WORKER SERVICES INC
Entity type:Organization
Organization Name:RISE WITHIN THERAPY STUDIO CLINICAL SOCIAL WORKER SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIWARI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:857-312-8372
Mailing Address - Street 1:1220 HOWARD AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4252
Mailing Address - Country:US
Mailing Address - Phone:857-312-8372
Mailing Address - Fax:
Practice Address - Street 1:1220 HOWARD AVE STE 230
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4252
Practice Address - Country:US
Practice Address - Phone:857-312-8372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty