Resilient Roots Counseling, Licensed Clinical Social Worker Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESILIENT ROOTS COUNSELING, LICENSED CLINICAL SOCIAL WORKER INC

Practice address

490 Chadbourne Rd Ste A118
Fairfield, CA 94534-1827

Phone

(707) 693-4108

Fax

(707) 266-9969

NPI assigned

Jul 23, 2025

Organization subpart

No

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

Authorized official

Name

Stephanie Nicole Ward, LCSWNPI 1699473892

Title

Director/Therapist

Phone

(707) 337-5032

Specialties & licenses 1

Addresses

Other names 1

• Resilient Roots Counseling Doing business as

Locations

Practitioners 1

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

• Stephanie Nicole Ward, ACSW

  • Clinical Social Worker
  • Vacaville, CA
  • NPI 1699473892
  NPD Authorized official

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1770465403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 CHADBOURNE RD STE A118",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341827",
            "telephone_number": "707-693-4108",
            "fax_number": "707-266-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CHADBOURNE RD STE A118",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341827",
            "telephone_number": "707-693-4108",
            "fax_number": "707-266-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT ROOTS COUNSELING, LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "707-337-5032",
        "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": [
        {
            "organization_name": "Resilient Roots Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Aric Reitan
• Renal Treatment Centers California Inc
• Renal Treatment Centers California Inc.
• Renewed Recovery Services Inc
• Brandi Ann Renfroe
• Joyce Resnick, M.D.
• Dody J. Reustle, PSYD
• Lynette Rey, PHARM.D.
• Victoria Isabel Reyes-Rodriguez
• Christy Reyes

• Clinical Social Worker in Fairfield, CA
• Providers in Fairfield, 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 Jul 23, 2025; 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.