Roots Unraveled, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROOTS UNRAVELED, LLC

Practice address

413 Neponset Ave Ste 1
Dorchester, MA 02122-3184

Phone

(617) 539-6339

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Jasmine Welcome, LICSWNPI 1457888737

Title

Clinician/Owner

Phone

(617) 820-3566

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Jasmine S Welcome, LICSW

  • Clinical Social Worker
  • Dorchester, MA
  • NPI 1457888737
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1316540743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 NEPONSET AVE STE 1",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223184",
            "telephone_number": "617-539-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 NEPONSET AVE STE 1",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223184",
            "telephone_number": "617-539-6339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Geneva Ave",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021213601",
            "country_code": "US",
            "telephone_number": "617-539-6339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTS UNRAVELED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "WELCOME",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "617-820-3566",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457888737",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "413 Neponset Ave Ste 1",
            "city": "Dorchester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021223184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Royletta Romain, MED, RD, LDN
• Francisco Javier Roman, MS
• Emilys Yaret Romero-Arias
• Helen M Romero, MSW LICSW
• Janet Rong, RDH
• Mei-Ling Rosario Burgos
• Benjamin Rose, DPT
• Pamela Ann Rose
• Patti Rosenfield, N.P.
• Beilah B Ross, LICSW

• Clinical Social Worker in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.