Roots Seeds and Branches

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005018 Issued in GA

Legal business name

ROOTS SEEDS AND BRANCHES

Practice address

209A Swanton Way Ste 202
Decatur, GA 30030-3271

Phone

(404) 698-5553

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Julius Jessup Peterson, LCSW

Title

Owner

Phone

(404) 698-5553

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1508353210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209A SWANTON WAY STE 202",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303271",
            "telephone_number": "404-698-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209A SWANTON WAY STE 202",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303271",
            "telephone_number": "404-698-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS SEEDS AND BRANCHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "JESSUP PETERSON",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-698-5553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003181948C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Florence Rollin, M.D.
• Erin Rollins
• Luis Felipe Roman, DO
• Jennifer Lynn Pope Romano, MA, APC, NCC
• Madeline Dalton Roorbach
• Rose Haven Health Services , LLC
• Paquita Demetria Rose-Collins
• Nichole Rose-Turner, CPT
• Janine Rose, PA-A (AA-C)
• William Wagner Rose III, M.D.

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.