Connected Roots LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09925299 Issued in CO

Legal business name

CONNECTED ROOTS LLC

Practice address

1650 38TH St Ste 100E
Boulder, CO 80301-2624

Phone

(720) 593-1383

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Lauren Andre, LCSW

Title

Co-Owner

Phone

(720) 593-1383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1124508734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 100E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012624",
            "telephone_number": "720-593-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 100E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012624",
            "telephone_number": "720-593-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-593-1383",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Rehab Consultants PLLC
• Cristina Martha Conceicao Smith, DDS
• Matthew Condenzio
• Jarod Alexander Conley, MD
• Catherine Ross Conlin, PHD, CCC-SLP
• Caroline Conner
• Amy Kathryn Connery, PSY D, ABPP/CN
• Ashley Holladay Connolly, M.A.
• Colleen Conroy
• Marilyn Kathleen Conroy, LCSW

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.