Roots North Wings South LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROOTS NORTH WINGS SOUTH LLC

Practice address

715 Isle Verde Dr
Myrtle Beach, SC 29579-7168

Phone

(631) 599-6177

NPI assigned

Jul 29, 2026

Organization subpart

No

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

Authorized official

Name

Stephanie Durso, LCSW, LISW-CPNPI 1518310754

Title

Owner

Phone

(631) 599-6177

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, and the practitioner matching its NPPES authorized official.

• Stephanie Durso, LCSW LISW-CP

  • Clinical Social Worker
  • Myrtle Beach, SC
  • NPI 1518310754
  NPD (past) Authorized official

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1346162229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 ISLE VERDE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797168",
            "telephone_number": "631-599-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ISLE VERDE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797168",
            "telephone_number": "631-599-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS NORTH WINGS SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "DURSO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-599-6177",
        "authorized_official_credential": "LCSW, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Roman II, LISW-CP
• Jessica Vanessa Romero, M.D.
• Ronald Cassidy LPC
• Amy Root, RN
• Rooted in Care LLC
• Eileen Stephanie Tokarz Roque
• Margaret Ray Trainor Rose
• Victoria Rita Rose, MSOT, OTR/L
• David Ian Rosenberg, MD
• Naama Rosenheck, OTR

• Clinical Social Worker in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.