Organization Active NPI

Cedar Roots Counseling PLLC

  • Clinical Social Worker
  • Plymouth, MN
National Provider Identifier
1306750864
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CEDAR ROOTS COUNSELING PLLC
Practice address
4620 Yorktown LN N
Plymouth, MN 55442-2598
Phone
(612) 423-2980
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Elizabeth Senne, MSW, LICSW
Title
Clinical Social Worker
Phone
(612) 423-2980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4620 Yorktown LN N
Plymouth, MN 55442-2598

Mailing address

4620 Yorktown LN N
Plymouth, MN 55442-2598
Phone (612) 423-2980

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1306750864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 YORKTOWN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422598",
            "telephone_number": "612-423-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 YORKTOWN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422598",
            "telephone_number": "612-423-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR ROOTS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "SENNE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "612-423-2980",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.