Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Radical Roots Clinic LLC

Organization Social Worker · NPI 1629737150

Radical Roots Clinic LLC is a Social Worker in Arthur, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2046 Jonathan Creek Rd
Arthur, IL 61911-6108
Phone: (765) 267-1177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Social Worker Taxonomy 104100000X

Record details

NPI number1629737150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Alford — Owner · (765) 267-1177
NPI enumeratedDecember 13, 2021
Last updated in NPPESMay 30, 2022
Certification dateMay 30, 2022
Mailing address2046 Jonathan Creek Rd, Arthur, IL 61911-6108