Organization Active NPI

Rootwork Psychotherapy, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1396419263
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Ms. Jasmine Atwell, LCSWNPI 1407309032
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address connect@rootworkpsych.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.