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

Rooted Mind & Body LLC

Organization Clinical Social Worker · NPI 1780503441

Rooted Mind & Body LLC is a Clinical Social Worker in Genoa City, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

N1547 Overlook Dr
Genoa City, WI 53128-1592
Phone: (815) 575-9559
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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 number1780503441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Fetrow — Owner · (815) 575-9559
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 15, 2026
Mailing addressN1547 Overlook Dr, Genoa City, WI 53128-1592

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