Virginia C S Redmond

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1305 21St Ave Ste 204
Fairbanks, AK 99701-6084

Phone

(907) 474-0059

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Virginia C Redmond Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kintsugi Counseling LLC

  • Clinical Social Worker
  • Fairbanks, AK
  • NPI 1306586961
  NPD Authorized official

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1124670302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 21ST AVE STE 204",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016084",
            "telephone_number": "907-474-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 21ST AVE STE 204",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016084",
            "telephone_number": "907-474-0059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 S Cushman St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997017516",
            "country_code": "US",
            "telephone_number": "907-452-6251 x6431",
            "fax_number": "907-456-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1867 Airport Way Ste 225",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014062",
            "country_code": "US",
            "telephone_number": "907-474-0059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "VIRGINIA",
        "middle_name": "C S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "REDMOND",
            "middle_name": "C",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Ream
• Elizabeth Joy Rebholz
• Johnathan G. Rebholz
• Leann Marie Reckker, LMT
• Berlin Reddout
• Rosary F Reed-Falaisa
• Debra Reed, CHP
• Sarah Jo Reed, FNP-BC
• Elizabeth Reeves
• Wendy Jean Reger

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.