Organization Active NPI

Tangled Roots, LLC

  • Clinical Social Worker
  • Buffalo Grove, IL
National Provider Identifier
1588508592
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TANGLED ROOTS, LLC
Practice address
1130 W Lake Cook Rd Ste 210
Buffalo Grove, IL 60089-1975
Phone
(224) 200-9990
NPI assigned
Apr 18, 2026
Last updated
Apr 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Authorized official

Name
Kaila Zimmerman-Moscovitch, LCSWNPI 1588443865
Title
Owner
Phone
(224) 200-9990

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

1130 W Lake Cook Rd Ste 210
Buffalo Grove, IL 60089-1975

Mailing address

1130 W Lake Cook Rd Ste 210
Buffalo Grove, IL 60089-1975

National Provider Directory

National Provider Directory

Locations

1130 W Lake Cook Rd
Ste 210
Buffalo Grove, IL 60089
Phone (224) 200-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1588508592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W LAKE COOK RD STE 210",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W LAKE COOK RD STE 210",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891975",
            "telephone_number": "224-200-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGLED ROOTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-18",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN-MOSCOVITCH",
        "authorized_official_first_name": "KAILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-200-9990",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

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

Verify at the official NPI Registry.