Reforming Roots Therapy, A Licensed Clinical Social Worker, PC
NPI 1003664947ActiveOrganization· Social Worker, Clinical· Campbell, CA
Social Worker, Clinical in Campbell, California, registered in NPPES in May 2024. The authorized official on file is Alexis Mathias, LCSW, Ceo/Owner.
Overview
| NPI | 1003664947 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2024 |
| Last updated in NPPES | Oct 19, 2026 |
| Certified by provider | Oct 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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