Healthcare Provider Details

I. General information

NPI: 1881522076
Provider Name (Legal Business Name): LITTLE ROOTS AND WINGS SOCIAL EMOTIONAL LEARNING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 RIVINGTON ST
ROSELLE NJ
07203-2722
US

IV. Provider business mailing address

1010 RIVINGTON ST
ROSELLE NJ
07203-2722
US

V. Phone/Fax

Practice location:
  • Phone: 908-280-9870
  • Fax:
Mailing address:
  • Phone: 908-280-9870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KARA ROBINSON
Title or Position: OWNER
Credential: MSW
Phone: 908-884-3429