Organization · Type 2 NPI

Reforming Roots Therapy, A Licensed Clinical Social Worker, PC

Clinical Social Worker · Campbell, CA

NPI number 1003664947 Active

Practice location

65 E Latimer Ave
Campbell, CA 95008-1205

Mailing address

440 N Barranca Ave # 1918
Covina, CA 91723-1722

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003664947

Reforming Roots Therapy, A Licensed Clinical Social Worker, PC's National Provider Identifier is 1003664947, issued on May 7, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Campbell, CA. The record was last updated on Oct 19, 2026.