BODEGA ROOTS THERAPY LCSW PLLC

Social Worker - Clinical

Active Organization
NPI: 1811864093

Practice Address

557 GRAND CONCOURSE STE 6017
Bronx, NY 10451

Phone: (917) 853-9364

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1811864093 is the National Provider Identifier for BODEGA ROOTS THERAPY LCSW PLLC, a Social Worker - Clinical provider located in Bronx, NY. This NPI was enumerated on October 21, 2025.

Quick Facts

NPI
1811864093
Type
Organization
Enumerated
Oct 21, 2025
Last Updated
Oct 21, 2025

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