Bodega Roots Therapy LCSW PLLC
Bodega Roots Therapy LCSW PLLC is a Clinical Social Worker in Bronx, New York. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
557 Grand Concourse Ste 6017Bronx, NY 10451-5253
Phone: (917) 853-9364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1811864093 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carmen Fajardo — Director · (917) 853-9364 |
| NPI enumerated | October 21, 2025 |
| Last updated in NPPES | October 21, 2025 |
| Certification date | October 21, 2025 |
| Mailing address | 557 Grand Concourse Ste 6017, Bronx, NY 10451-5253 |
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