Rooted Therapeutics

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROOTED THERAPEUTICS

Practice address

3058 W Belmont Ave # 2D
Chicago, IL 60618-5707

Phone

(312) 725-4879

NPI assigned

May 16, 2022

Organization subpart

No

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

Authorized official

Name

Diandra Entler, LCSWNPI 1235803784

Title

Director

Phone

(312) 725-4879

Specialties & licenses 1

Addresses

Practitioners 1

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

• Diandra Entler, MS, LCSW, CCLS

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1235803784
  NPD Authorized official

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1124765896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W OHIO ST APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226038",
            "telephone_number": "127-254-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 W BELMONT AVE # 2D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185707",
            "telephone_number": "312-725-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "ENTLER",
        "authorized_official_first_name": "DIANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-725-4879",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rooted Family Healthcare, LLC
• Rooted Health PLLC
• Rooted in Communication
• Rooted Mosaic Therapy PLLC
• Rooted Self Counseling, PLLC
• Roots and Rays Creative Counseling, LLC
• Roots Family Chiropractic, LTD.
• Roots, LLC
• Rootwork Psychotherapy, PLLC
• Rop Consultants LLC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.