NPIMap

Organization Active NPI

Rooted Therapy & Consultation, LLC

  • Clinical Social Worker
  • Warrenton, OR
National Provider Identifier
1598522666
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROOTED THERAPY & CONSULTATION, LLC
Practice address
227 SE Anchor Ave
Warrenton, OR 97146-9571
Phone
(541) 659-3217
Fax
(541) 507-6344
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Alicia Krawczyk, LCSWNPI 1679917330
Title
LCSW/Owner
Phone
(541) 659-3217

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

227 SE Anchor Ave
Warrenton, OR 97146-9571

Mailing address

227 SE Anchor Ave
Warrenton, OR 97146-9571
Phone (541) 659-3217

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": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1598522666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SE ANCHOR AVE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469571",
            "telephone_number": "541-659-3217",
            "fax_number": "541-507-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SE ANCHOR AVE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469571",
            "telephone_number": "541-659-3217",
            "fax_number": "541-507-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED THERAPY & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "KRAWCZYK",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "541-659-3217",
        "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": [],
    "other_names": []
}

Other providers in Warrenton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.