RADICAL ROOTS PSYCHOTHERAPY, A LICENSED CLINICAL SOCIAL WORKER, PC
NPI 1003664947
Social Worker - Clinical in Campbell, CA
About Radical Roots Psychotherapy, A Licensed Clinical Social Worker, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RADICAL ROOTS PSYCHOTHERAPY, A LICENSED CLINICAL SOCIAL WORKER, PC (NPI 1003664947) is a healthcare organization registered as a clinical in Campbell, California and active in the NPI registry since May 2024. The organization lists Alexis Mathias, Ceo/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Radical Roots Psychotherapy, A Licensed Clinical Social Worker, PC's NPI number?
The NPI number for Radical Roots Psychotherapy, A Licensed Clinical Social Worker, PC is 1003664947. It was assigned to this organization in the NPPES registry on May 7, 2024.
Where is Radical Roots Psychotherapy, A Licensed Clinical Social Worker, PC located?
Radical Roots Psychotherapy, A Licensed Clinical Social Worker, PC is located at 65 E Latimer Ave, Campbell, CA 95008. The listed phone number is (626) 833-1106.
What is Radical Roots Psychotherapy, A Licensed Clinical Social Worker, PC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Radical Roots Psychotherapy, A Licensed Clinical Social Worker, PC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.