Active NPI
Rooted Wellness Collective, LLC
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1447184296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ROOTED WELLNESS COLLECTIVE, LLC
- Practice address
- 516 11TH St NW
Albuquerque, NM 87102-1806 - Phone
- (505) 690-4097
- NPI assigned
- Jun 9, 2026
- 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
- Gabrielle H Edidin, LCSW
- Title
- Owner
- Phone
- (505) 690-4097
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
516 11TH St NW
Albuquerque, NM 87102-1806
Mailing address
516 11TH St NW
Albuquerque, NM 87102-1806
Phone (505) 690-4097
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hello@rootedwellcollective.org | Health Information Exchange (HIE) |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1447184296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 11TH ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021806",
"telephone_number": "505-690-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 11TH ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021806",
"telephone_number": "505-690-4097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED WELLNESS COLLECTIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "EDIDIN",
"authorized_official_first_name": "GABRIELLE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-690-4097",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hello@rootedwellcollective.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "516 11th St NW",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871021806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.