Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Radical Roots Psychotherapy, a Licensed Clinical Social Worker, PC

Organization Clinical Social Worker · NPI 1003664947

Radical Roots Psychotherapy, a Licensed Clinical Social Worker, PC is a Clinical Social Worker in Campbell, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

65 E Latimer Ave
Campbell, CA 95008-1205
Phone: (626) 833-1106
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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 number1003664947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Mathias — Ceo/Owner · (626) 833-1106
NPI enumeratedMay 7, 2024
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address440 N Barranca Ave # 1918, Covina, CA 91723-1722

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