Root and Branch Parenthood

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROOT AND BRANCH PARENTHOOD

Practice address

4054 N Lincoln Ave Ste 2
Chicago, IL 60618-3144

Phone

(123) 569-0437

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Nicole Goldwater, LCSWNPI 1780988162

Title

President

Phone

(301) 219-8195

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.

• Nicole Goldwater, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1780988162
  NPD Authorized official

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1144915414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 N LINCOLN AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183144",
            "telephone_number": "123-569-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 N LINCOLN AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183144",
            "telephone_number": "123-569-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT AND BRANCH PARENTHOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "GOLDWATER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-219-8195",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arturo Roosen, PA-C
• Roosevelt Road Clinic MD SC
• Hannah Roosevelt, MS, RD, LDN, CNSC
• Root & Vines Wellness, PLLC
• Root Acupuncture and Herbal Therapy Inc
• Root and Rise Psychological Services PLLC
• Liliana Root
• Madeline Macy Root, LCSW
• Staci Root
• Rooted Acupuncture Co

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.