Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrated Roots Therapy LLC

Organization Clinical Social Worker · NPI 1568202380

Integrated Roots Therapy LLC is a Clinical Social Worker in Madison, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2002 Atwood Ave Ste 217
Madison, WI 53704-5382
Phone: (608) 352-6211
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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 number1568202380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Smith — Owner · (262) 685-1918
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address4810 Ilene Ln, Madison, WI 53704-1425

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