Organization Active NPI

Woven Roots Integrative Therapy Center LLC

  • Clinical Social Worker
  • Abington, PA
National Provider Identifier
1619669389
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WOVEN ROOTS INTEGRATIVE THERAPY CENTER LLC
Practice address
2432 Avondale Ave
Abington, PA 19001-4203
Phone
(336) 207-5354
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Emily Reichner, LCSWNPI 1659001089
Title
Co-Owner
Phone
(336) 207-5354

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

2432 Avondale Ave
Abington, PA 19001-4203

Mailing address

2432 Avondale Ave
Abington, PA 19001-4203

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1619669389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 AVONDALE AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 AVONDALE AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014203",
            "telephone_number": "336-207-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOVEN ROOTS INTEGRATIVE THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "REICHNER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "336-207-5354",
        "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 Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.