Active NPI
Rootwork Psychotherapy, PLLC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1396419263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ROOTWORK PSYCHOTHERAPY, PLLC
- Practice address
- 2137 W Cortez St # 3
Chicago, IL 60622-3602 - Phone
- (224) 592-0989
- NPI assigned
- Aug 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jasmine Atwell, LCSW
- Title
- Member
- Phone
- (224) 592-0989
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2137 W Cortez St # 3
Chicago, IL 60622-3602
Mailing address
2137 W Cortez St # 3
Chicago, IL 60622-3602
Phone (224) 592-0989
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | connect@rootworkpsych.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- West Palm Beach, FL
- NPI 1407309032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1396419263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 W CORTEZ ST # 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223602",
"telephone_number": "224-592-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2137 W CORTEZ ST # 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223602",
"telephone_number": "224-592-0989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTWORK PSYCHOTHERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "ATWELL",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "224-592-0989",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "connect@rootworkpsych.com",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2137 W Cortez St # 3",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606223602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.