Healthcare Provider Details

I. General information

NPI: 1245158476
Provider Name (Legal Business Name): ROOTED IN CARE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9341 SIBELIUS DR
VIENNA VA
22182-1632
US

IV. Provider business mailing address

9912A GEORGETOWN PIKE
GREAT FALLS VA
22066-2842
US

V. Phone/Fax

Practice location:
  • Phone: 703-424-8166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CAREY HITCHCOCK
Title or Position: OWNER
Credential: LCSW
Phone: 703-424-8166