Roots at Crossroads Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROOTS AT CROSSROADS COUNSELING LLC

Practice address

2040 Millburn Ave Ste 102
Maplewood, NJ 07040-3716

Phone

(908) 798-4809

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Sevil H Modeste, LCSW, LCADC

Title

Ceo

Phone

(908) 798-4809

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1043964091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE STE 102",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE STE 102",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403716",
            "telephone_number": "908-798-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS AT CROSSROADS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "MODESTE",
        "authorized_official_first_name": "SEVIL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-798-4809",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robinson Family Care Professional
• Tinesha Rodrigues
• Amelia Kaplan Romanowsky, PSY.D.
• Rooms to Grow
• Rooms to Grow
• Corrine Rose-Parish, LCSW, CTRS
• Barbara A Rosen, LCSW
• Deborah Z. Rosenberg, D.M.D.
• Rosh OB-GYN Ultrasound of NJ LLC
• Charles Archer Rowe, MD PHD

• Clinical Social Worker in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.