Roots At Crossroads Counseling LLC
Social Worker, Clinical in Maplewood, New Jersey
1043964091- Practice location
- 2040 Millburn Ave Ste 102, Maplewood, NJ 07040-3716
- Phone
- 908-798-4809
- Fax
- —
- Last updated
- September 9, 2022
Roots At Crossroads Counseling LLC is a healthcare organization based in Maplewood, NJ. Roots At Crossroads Counseling LLC practices in Maplewood, NJ. The NPI Number for Roots At Crossroads Counseling LLC is 1043964091. The current practice location address for Roots At Crossroads Counseling LLC is 2040 Millburn Ave Ste 102, Maplewood, NJ 07040-3716 and can be reached out via phone at 908-798-4809.
Provider Profile Details
- NPI Number
- 1043964091
- Provider Name
- Roots At Crossroads Counseling LLC
- Provider Entity Type
- Organization
- Address
- 2040 Millburn Ave Ste 102, Maplewood, NJ 07040-3716
- Phone Number
- 908-798-4809
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Sevil H Modeste, LCSW, LCADC · Ceo · 908-798-4809
- Provider Enumeration Date
- February 8, 2022
- Last Update Date
- September 9, 2022
- Certification Date
- September 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2040 Millburn Ave Ste 102
Maplewood, NJ 07040-3716 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3716
- Phone Number
- 908-798-4809
Provider Business Mailing Address Details
- Address
- 2040 Millburn Ave Ste 102
Maplewood, NJ 07040-3716 - City
- Maplewood
- State
- NJ
- Zip
- 07040-3716
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Roots At Crossroads Counseling LLC?
The NPI number of Roots At Crossroads Counseling LLC is 1043964091. It was assigned on February 8, 2022 and is currently active in the NPPES registry.
What is the specialty of Roots At Crossroads Counseling LLC?
Roots At Crossroads Counseling LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Roots At Crossroads Counseling LLC practice?
The practice location is 2040 Millburn Ave Ste 102, Maplewood, NJ 07040-3716. The office can be reached at 908-798-4809 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043964091 directly on the NPPES registry website.