Keri Gnanashanmugam Licensed Clinical Social Worker Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KERI GNANASHANMUGAM LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

427 Mendocino Ave Ste 100
Santa Rosa, CA 95401-5392

Phone

(224) 386-6832

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Keri Gnanashanmugam, LCSWNPI 1639834583

Title

Practice Owner

Phone

(832) 540-1630

Specialties & licenses 1

Addresses

Other names 1

• Root Psychotherapy Doing business as

Practitioners 1

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

• Keri Gnanashanmugam, LCSW

  • Clinical Social Worker
  • Santa Rosa, CA
  • NPI 1639834583
  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1235964636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 4TH ST # 5002",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MENDOCINO AVE STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015392",
            "telephone_number": "224-386-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI GNANASHANMUGAM LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "GNANASHANMUGAM",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "832-540-1630",
        "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": "Root Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Root Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Kenyon, RN
• Kari Kenyon, AOD COUNSELOR
• Emily Keram, M.D.
• Stevan Keram, M.D.
• Chris Everett Kerger, C.P.
• Katie Jo Keridan, PSY.D.
• Leah Eichenholz Kermish-Wells, LMFT
• Keila Marina Kerns
• Allan Kerr
• Bonnie Jean Kerr, M.D.

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.