Organization Active NPI

Roots of Compassion, LLC

  • Clinical Social Worker
  • Tunkhannock, PA
National Provider Identifier
1003562364
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROOTS OF COMPASSION, LLC
Practice address
69 Putnam St
Tunkhannock, PA 18657-1203
Phone
(570) 878-7258
NPI assigned
Feb 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dorothy Walline, LCSWNPI 1104196187
Title
Owner
Phone
(570) 878-7258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

69 Putnam St
Tunkhannock, PA 18657-1203

Mailing address

1195 Post Hill Rd
Factoryville, PA 18419-7780
Phone (570) 878-7258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220606001469 PA Part B Supplier - Clinic/Group Practice 4486032380 Receives reassigned benefits from 1 practitioner
Practice locations: Tunkhannock, PA

National Provider Directory

National Provider Directory

Locations

69 Putnam St
Tunkhannock, PA 18657
Phone (570) 677-7788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1003562364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 POST HILL RD",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184197780",
            "telephone_number": "570-878-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 PUTNAM ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571203",
            "telephone_number": "570-878-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS OF COMPASSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "WALLINE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-878-7258",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.