Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wild Roots Counseling and Psychological Services LLC

Organization Clinical Social Worker · NPI 1063206092

Wild Roots Counseling and Psychological Services LLC provides Clinical Social Worker services in Annandale, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1318 Route 31 Ste 2
Annandale, NJ 08801-3136
Phone: (908) 219-9028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1063206092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Christ — Therapist/Owner · (908) 219-9028
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 6, 2025
Mailing address971 Us Highway 202 N Ste N, Branchburg, NJ 08876-3757

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