Organization · Type 2 NPI
Bodega Roots Therapy LCSW PLLC
Clinical Social Worker · Bronx, NY
Practice location
557 Grand Concourse Ste 6017
Bronx, NY 10451-5253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: 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 interpers…
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About NPI 1811864093
Bodega Roots Therapy LCSW PLLC's National Provider Identifier is 1811864093, issued on Oct 21, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Oct 21, 2025.