MEDICARE: ROOTED COUNSELING & CONSULTING GROUP, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	106H00000X	Marriage & Family Therapist
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669331872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTED COUNSELING & CONSULTING GROUP, LLC

Provider Business Mailing Address
First Line	:	1865 POST RD STE 105
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-1547
Country	:	US
Telephone Number	:	781-866-3191
Fax Number	:

Provider Business Practice Location Address
First Line	:	1865 POST RD STE 105
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-1547
Country	:	US
Telephone Number	:	781-866-3191
Fax Number	:

Authorized Official
Title or Position	:	CLINICIAN AND OPERATION MANAGER
Name	:	CLAUDEL CHEVRY
Credential	:	LCSW
Telephone Number	:	781-866-3191

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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