=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689587925
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROOTED PRESENCIA LCSW PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2026
-----------------------------------------------------
Last Update Date | 09/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1285 US HIGHWAY 9 STE 5
-----------------------------------------------------
City | WAPPINGERS FALLS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12590-4417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-246-0324
-----------------------------------------------------
Fax | 914-840-1182
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2522 SOUTH RD # 1019
-----------------------------------------------------
City | POUGHKEEPSIE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12601-5468
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-513-8598
-----------------------------------------------------
Fax | 914-840-1182
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDING PROVIDER
-----------------------------------------------------
Name | GLENDALEE L MUNIZ
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 917-513-8598
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------