Jennifer Root, LLC
Community/Behavioral Health in Enfield, Connecticut
1205212172- Practice location
- 139 Hazard Ave, Building 2/UNIT 8, Enfield, CT 06082-4585
- Phone
- 860-933-7311
- Fax
- —
- Last updated
- August 3, 2015
Jennifer Root, LLC is a healthcare organization based in Enfield, CT. Jennifer Root, LLC practices in Enfield, CT. The NPI Number for Jennifer Root, LLC is 1205212172 and holds a License No. 008779 (CT). The current practice location address for Jennifer Root, LLC is 139 Hazard Ave, Building 2/UNIT 8, Enfield, CT 06082-4585 and can be reached out via phone at 860-933-7311.
Provider Profile Details
- NPI Number
- 1205212172
- Provider Name
- Jennifer Root, LLC
- Provider Entity Type
- Organization
- Address
- 139 Hazard Ave, Building 2/UNIT 8, Enfield, CT 06082-4585
- Phone Number
- 860-933-7311
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Jennifer Root, LCSW · Licensed Clinical Social Worker · 860-993-7311
- Provider Enumeration Date
- August 3, 2015
- Last Update Date
- August 3, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 139 Hazard Ave
Building 2/UNIT 8
Enfield, CT 06082-4585 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-4585
- Phone Number
- 860-933-7311
Provider Business Mailing Address Details
- Address
- 4074 Mountain RD
West Suffield, CT 06093-2118 - City
- West Suffield
- State
- CT
- Zip
- 06093-2118
- Phone Number
- 860-993-7311
License Information
- License Number
- 008779
- License State
- CT
- Taxonomy
- Community/Behavioral Health · 251S00000X · 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 Jennifer Root, LLC?
The NPI number of Jennifer Root, LLC is 1205212172. It was assigned on August 3, 2015 and is currently active in the NPPES registry.
What is the specialty of Jennifer Root, LLC?
Jennifer Root, LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in CT under license number 008779.
Where does Jennifer Root, LLC practice?
The practice location is 139 Hazard Ave, Building 2/UNIT 8, Enfield, CT 06082-4585. The office can be reached at 860-933-7311 (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 1205212172 directly on the NPPES registry website.