Aspen Roots Therapeutic Services and Consulting PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ASPEN ROOTS THERAPEUTIC SERVICES AND CONSULTING PLLC

Practice address

15105 S James St Ste 7
Plainfield, IL 60544-2171

Phone

(779) 206-8540

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Christie Nicole Perretta, LCSWNPI 1962116657

Title

Licensed Clinical Social Worker

Phone

(779) 206-8540

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.

• Christie Nicole Perretta, MSW

  • Social Worker
  • Minooka, IL
  • NPI 1962116657
  NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1891532750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 SEAN DR",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049765",
            "telephone_number": "779-206-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 S JAMES ST STE 7",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442171",
            "telephone_number": "779-206-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN ROOTS THERAPEUTIC SERVICES AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "PERRETTA",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "779-206-8540",
        "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": []
}

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• Clinical Social Worker in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.