Bodega Roots Therapy Lcsw PLLC
NPI 1811864093 · Clinical Social Worker · Bronx, NY
Bodega Roots Therapy Lcsw PLLC is a Clinical Social Worker organization in Bronx, NY (NPI 1811864093).
Provider details
- NPI number
- 1811864093
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Carmen Fajardo, Director(917) 853-9364
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-21
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Frequently asked questions
- What is Bodega Roots Therapy Lcsw PLLC's NPI number?
- Bodega Roots Therapy Lcsw PLLC's National Provider Identifier (NPI) is 1811864093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bodega Roots Therapy Lcsw PLLC?
- Bodega Roots Therapy Lcsw PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Bodega Roots Therapy Lcsw PLLC located?
- Bodega Roots Therapy Lcsw PLLC's practice location on file with NPPES is 557 Grand Concourse Ste 6017, Bronx, NY 10451-5253.
- What is Bodega Roots Therapy Lcsw PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bodega Roots Therapy Lcsw PLLC is (917) 853-9364.
- Who is the authorized official for Bodega Roots Therapy Lcsw PLLC?
- The authorized official listed on Bodega Roots Therapy Lcsw PLLC's NPPES record is Carmen Fajardo, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bodega Roots Therapy Lcsw PLLC's NPI active?
- Yes — Bodega Roots Therapy Lcsw PLLC's NPI (1811864093) is active in the NPPES registry as of the last update on 2025-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.