The Root Network, a Licensed Clinical Social Worker Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE ROOT NETWORK, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

2990 Inland Empire Blvd Ste 105
Ontario, CA 91764-4899

Phone

(909) 235-9880

NPI assigned

Feb 16, 2021

Last updated

Feb 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marshiq Wilson-Martin, LCSW

Title

Owner

Phone

(909) 235-9880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1619560166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 INLAND EMPIRE BLVD STE 105",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644899",
            "telephone_number": "909-235-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 INLAND EMPIRE BLVD STE 105",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644899",
            "telephone_number": "909-235-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROOT NETWORK, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "WILSON-MARTIN",
        "authorized_official_first_name": "MARSHIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-235-9880",
        "authorized_official_name_prefix": "Mrs.",
        "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": [],
    "other_names": []
}

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• Clinical Social Worker in Ontario, CA
• Providers in Ontario, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.