Our Shared Roots

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OUR SHARED ROOTS

Practice address

1412 Yelm Ave E Ste C101
Yelm, WA 98597-8328

Phone

(612) 402-0220

NPI assigned

Jun 12, 2026

Organization subpart

No

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

Authorized official

Name

Savannah Jo Ludford, LICSWNPI 1306529987

Title

Owner/Clinician

Phone

(612) 402-0220

Specialties & licenses 1

Addresses

Practitioners 1

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

• Savannah Ludford, LCSW

  • Clinical Social Worker
  • Yelm, WA
  • NPI 1306529987
  NPD Authorized official

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1801720834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 RAMSAY CT SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979512",
            "telephone_number": "612-402-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 YELM AVE E STE C101",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978328",
            "telephone_number": "612-402-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR SHARED ROOTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "LUDFORD",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "612-402-0220",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin NG
• Northwest Advanced Spinal Care PLLC
• Lauren Rochelle Ohlson, MSW
• Jathzeel Amadeo Olivares, DPT
• Sharon J Olson, ARNP
• Madison Carrie Ann Pate, LMT
• Frances L Pearre
• William J Penn, M.D.
• Stephanie Lyn Petersen, LMT
• Morgan Phillips, PT, DPT

• Clinical Social Worker in Yelm, WA
• Providers in Yelm, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.