Roots at Crossroads Counseling LLC
NPI 1043964091ActiveOrganization· Social Worker, Clinical· Maplewood, NJ
Social Worker, Clinical in Maplewood, New Jersey, registered in NPPES in February 2022. The authorized official on file is Sevil H. Modeste, LCSW, LCADC, Ceo.
Overview
| NPI | 1043964091 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2022 |
| Last updated in NPPES | Sep 9, 2022 |
| Certified by provider | Sep 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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