Active NPI
Radical Roots Psychotherapy
- Clinical Social Worker
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruby Wara-Goss, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Oakland, CA
- NPI 1487161618
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.