ROOTS AT CROSSROADS COUNSELING LLC
NPI 1043964091
Social Worker - Clinical in Maplewood, NJ

Q: What is Roots At Crossroads Counseling LLC's NPI number?

The NPI number for Roots At Crossroads Counseling LLC is 1043964091. It was assigned to this organization in the NPPES registry on February 8, 2022.

Q: What is Roots At Crossroads Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since February 08, 2022

2040 MILLBURN AVE STE 102, MAPLEWOOD, NJ 07040(908) 798-4809 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2022, Apr 20, 2022, Feb 8, 2022 (3 updates tracked since 2022).

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About Roots At Crossroads Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOTS AT CROSSROADS COUNSELING LLC (NPI 1043964091) is a healthcare organization registered as a clinical in Maplewood, New Jersey and active in the NPI registry since February 2022. The organization lists Sevil H Modeste, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043964091

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameROOTS AT CROSSROADS COUNSELING LLC

Location Address2040 MILLBURN AVE STE 102Maplewood, NJ 07040-3716

Mailing Address2040 Millburn Ave Ste 102Maplewood, NJ 07040-3716

Phone(908) 798-4809

Organization SubpartNo

Authorized OfficialSevil H ModesteCeo · (908) 798-4809

Enumeration DateFebruary 8, 2022

Last NPPES UpdateSeptember 9, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2022

✔ NPI 1043964091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

2040 MILLBURN AVE STE 102, Maplewood, NJ 07040

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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