MEDICARE: TAKE CARE COLLECTIVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1588460778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAKE CARE COLLECTIVE LLC

Provider Business Mailing Address
First Line	:	411 MCKEAN ST APT 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2524
Country	:	US
Telephone Number	:	724-801-9147
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 MCKEAN ST APT 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2524
Country	:	US
Telephone Number	:	724-801-9147
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	JENNA RODJENSKI
Credential	:	LCSW
Telephone Number	:	724-801-9147

Provider Enumeration Date	:	02/20/2025
Last Update Date	:	02/15/2026

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