Roots Branches Therapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROOTS BRANCHES THERAPY LCSW PLLC

Practice address

34 Plaza St E Ste P109
Brooklyn, NY 11238-5047

Phone

(646) 490-1930

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Nicole Gonzalez, LCSWNPI 1033650171

Title

LCSW

Phone

(646) 490-1930

Specialties & licenses 2

Addresses

Practitioners 1

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

• Nicole Lynn Gonzalez, LCSW

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1033650171
  NPD Authorized official

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1982287900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PLAZA ST E",
            "address_2": "P109",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PLAZA ST E STE P109",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385047",
            "telephone_number": "646-490-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS BRANCHES THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "646-490-1930",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Root, L.AC.
• Rooted Nyc Mental Health Counseling PLLC
• Rooted Therapy LCSW PLLC
• Roots 2 Grow LLC
• Roots 2 Grow LLC
• Roots Occupational Therapy PLLC
• Roots to Grow
• Perella Rooz
• Sara Rooz
• Pooya Roozdar, MD-MPH

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.