ROOTS SEEDS AND BRANCHES
NPI 1508353210
Social Worker - Clinical in Decatur, GA

Active since April 18, 2018
209A SWANTON WAY STE 202, DECATUR, GA 30030(404) 698-5553 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Roots Seeds And Branches NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOTS SEEDS AND BRANCHES (NPI 1508353210) is a healthcare organization registered as a clinical in Decatur, Georgia and active in the NPI registry since April 2018. The organization lists Julius Jessup Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1508353210
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameROOTS SEEDS AND BRANCHES
Location Address209A SWANTON WAY STE 202Decatur, GA 30030-3271
Mailing Address209a Swanton Way Ste 202Decatur, GA 30030-3271 · (404) 698-5553
Organization SubpartNo
Authorized OfficialJulius Jessup PetersonOwner · (404) 698-5553
Enumeration DateApril 18, 2018
NPI 1508353210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in GA · CSW005018
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

209A SWANTON WAY STE 202, Decatur, GA 30030

Other Identifiers 1

Medicaid003181948CGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
209A SWANTON WAY STE 202
DECATUR, GA 30030
Social Worker (Clinical)
209A SWANTON WAY STE 202
DECATUR, GA 30030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508353210, enumerated as an "organization" on April 18, 2018.

The provider is located at 209A SWANTON WAY STE 202 DECATUR, GA 30030 and the phone number is (404) 698-5553.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.