Organization Active NPI

Radical Roots Psychotherapy

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1740094523
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RADICAL ROOTS PSYCHOTHERAPY
Doing business as
Radical Roots Psychotherapy
Practice address
3863 Howe St Ste D
Oakland, CA 94611-5343
Phone
(510) 327-3201
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Ruby Wara-Goss, LCSWNPI 1487161618
Title
Licensed Clinical Social Worker
Phone
(510) 327-3201

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3863 Howe St Ste D
Oakland, CA 94611-5343

Mailing address

248 3Rd St # 1206
Oakland, CA 94607-4375
Phone (510) 327-3201

Other practice location 1

3107 Fillmore St Ste 6
San Francisco, CA 94123-3471
Phone (510) 327-3201

Other names 1

  • Radical Roots Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

248 3rd St
#1206
Oakland, CA 94607

3863 Howe St
Ste D
Oakland, CA 94611
Phone (510) 327-3201

3107 Fillmore St
Ste 6
San Francisco, CA 94123
Phone (510) 327-3201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1740094523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 3RD ST # 1206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074375",
            "telephone_number": "510-327-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 HOWE ST STE D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115343",
            "telephone_number": "510-327-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 Fillmore St Ste 6",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941233471",
            "country_code": "US",
            "telephone_number": "510-327-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADICAL ROOTS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "WARA-GOSS",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "510-327-3201",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radical Roots Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.