Rooted in Resilience Wellness Collective, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROOTED IN RESILIENCE WELLNESS COLLECTIVE, LLC

Practice address

500 Westgate Dr # 1142
Brockton, MA 02301-1855

Phone

(617) 297-7637

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Ndia Olivier, LICSWNPI 1861159196

Title

Social Worker

Phone

(617) 297-7637

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ndia Olivier

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1861159196
  NPD Authorized official

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1699525949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WESTGATE DR # 1142",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011855",
            "telephone_number": "617-297-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WESTGATE DR # 1142",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011855",
            "telephone_number": "617-297-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED IN RESILIENCE WELLNESS COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "OLIVIER",
        "authorized_official_first_name": "NDIA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "617-297-7637",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Roman, RN
• Danielle Romano, D.M.D.
• Renata Elizabeth Romero
• Rita Ann Rooney, LICSW
• Fayette C Root, M.D.
• Roots & Honey Love LLC
• Linda Rorie, P.T.
• Kayla Ann Rorke, PA-C
• Kira Rosa, MSW
• Mikayla Rosa

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brockton, MA
• Providers in Brockton, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.