1. Home
  2. Directory
  3. Wisconsin
  4. Genoa City
  5. Social Worker
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROOTED MIND & BODY LLC
NPI 1780503441
Social Worker - Clinical in Genoa City, WI

Active since July 14, 2026
N1547 OVERLOOK DR, GENOA CITY, WI 53128(815) 575-9559 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rooted Mind & Body Llc NPPES

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

ROOTED MIND & BODY LLC (NPI 1780503441) is a healthcare organization registered as a clinical in Genoa City, Wisconsin and active in the NPI registry since July 2026. The organization lists Matthew Fetrow, Owner, as its authorized official.

NPPES Registry Identity

NPI1780503441
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameROOTED MIND & BODY LLC
Location AddressN1547 OVERLOOK DRGenoa City, WI 53128-1592
Mailing AddressN1547 Overlook DrGenoa City, WI 53128-1592 · (815) 575-9559
Phone(815) 575-9559
Organization SubpartNo
Authorized OfficialMatthew FetrowOwner · (815) 575-9559
Enumeration DateJuly 14, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1780503441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
N1547 OVERLOOK DR, Genoa City, WI 53128
Open in Google Maps ↗

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

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

STURDY ROOTS WHOLE HEALTH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
N1547 OVERLOOK DR
GENOA CITY, WI 53128
Walworth County (815) 403-9188

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 Rooted Mind & Body LLC's NPI number?

The NPI number for Rooted Mind & Body LLC is 1780503441. It was assigned to this organization in the NPPES registry on July 14, 2026.

Where is Rooted Mind & Body LLC located?

Rooted Mind & Body LLC is located at N1547 Overlook Dr, Genoa City, WI 53128. The listed phone number is (815) 575-9559.

What is Rooted Mind & Body LLC'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 Rooted Mind & Body LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.