Organization Active NPI

Root & Bloom Wellness, PLLC

  • Clinical Social Worker
  • Lewisville, NC
National Provider Identifier
1962366286
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROOT & BLOOM WELLNESS, PLLC
Practice address
7570 Rondex LN
Lewisville, NC 27023-9660
Phone
(336) 909-5544
NPI assigned
Dec 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Suzanne Borofsky Marin, LCSWNPI 1265919062
Title
Owner
Phone
(336) 701-0112

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

7570 Rondex LN
Lewisville, NC 27023-9660

Mailing address

7570 Rondex LN
Lewisville, NC 27023-9660
Phone (336) 909-5544

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1962366286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 RONDEX LN",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239660",
            "telephone_number": "336-909-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 RONDEX LN",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239660",
            "telephone_number": "336-909-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT & BLOOM WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "BOROFSKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-701-0112",
        "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 Lewisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.