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

Mr. Perry James Root Sr., LIMHP, CMSW, PLADC

Individual provider Social Worker · NPI 1417415621

Mr. Perry James Root Sr., LIMHP, CMSW, PLADC is a Clinical Social Worker in Omaha, Nebraska. Qualified in 2018, 8 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
8
Licensed in
NE
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

5421 N 103rd St Ste 100
Omaha, NE 68134-1010
Phone: (402) 915-0599
Fax: (402) 496-9609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5421 N 103rd St Ste 100, Omaha, NE 68134-1010 — (402) 915-0599

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11766 (NE)
Social Worker Taxonomy 104100000X · Licence 7342 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2815 (NE)

Record details

NPI number1417415621
Entity typeIndividual (Type 1)
GenderMale
Credentials LIMHP , CMSW , PLADC
Sole proprietorYes
NPI enumeratedMarch 6, 2019
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing address5421 N 103rd St Ste 200, Omaha, NE 68134-1010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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