Organization Active NPI

The Rooted Refuge LLC

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1164392114
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE ROOTED REFUGE LLC
Practice address
447 3Rd Ave N Ste 203
St Petersburg, FL 33701-3245
Phone
(727) 201-2007
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nevedha White, LCSWNPI 1609447218
Title
Owner
Phone
(813) 395-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

447 3Rd Ave N Ste 203
St Petersburg, FL 33701-3245

Mailing address

2618 W Grand Reserve Cir Apt 632
Clearwater, FL 33759-3980

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1164392114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 W GRAND RESERVE CIR APT 632",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 3RD AVE N STE 203",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013245",
            "telephone_number": "727-201-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROOTED REFUGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "NEVEDHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-395-1222",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.